| |
151 E Canal Dr Turlock CA 95380-3901 | |
(209) 669-2583 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 151 E Canal Dr, Turlock, California |
Authorized Official Name and Position | Denise C Hunt (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Contact | 2095256225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
800 Scenic Dr Modesto CA 95350-6131 Ph: () - | 151 E Canal Dr Turlock CA 95380-3901 Ph: (209) 669-2583 |
NPI Number | 1053449454 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053449454 | NPI | - | NPPES |
5052 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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