|
| |
|
1620 Cummins Dr Modesto CA 95358-6400 | |
| (209) 576-1750 | |
| (209) 576-1768 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1620 Cummins Dr, Modesto, California |
| Authorized Official Name and Position | Vernon Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6508664080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 Oyster Point Blvd Ste 501 South San Francisco CA 94080-7600 Ph: (650) 866-4080 | 1620 Cummins Dr Modesto CA 95358-6400 Ph: (209) 576-1750 |
| NPI Number | 1104481662 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 06/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104481662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |