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420 E Canal Dr Turlock CA 95380-3936 | |
| (209) 669-2583 | |
| (209) 669-2588 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 420 E Canal Dr, Turlock, California |
| Authorized Official Name and Position | Jessica Borelli (CORE PROGRAM MANAGER) |
| Authorized Official Contact | 2095761750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
420 E Canal Dr Turlock CA 95380-3936 Ph: (209) 669-2583 | 420 E Canal Dr Turlock CA 95380-3936 Ph: (209) 669-2583 |
| NPI Number | 1336278928 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336278928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 45160 (California) | Primary |
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