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1145 W Tuolumne Rd Turlock CA 95382 | |
(209) 667-0327 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1145 W Tuolumne Rd, Turlock, 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 |
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2513 Youngstown Rd Turlock CA 95380-9707 Ph: (209) 667-0327 | 1145 W Tuolumne Rd Turlock CA 95382 Ph: (209) 667-0327 |
NPI Number | 1508344417 |
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Provider Enumeration Date | 08/02/2018 |
Last Update Date | 08/02/2018 |
Identifier | Type | State | Issuer |
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1508344417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 500310324 (California) | Primary |
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