| Buphant Society | |
|
1045 N. Eldorado 11 Stockton CA 95202 | |
| (209) 670-6799 | |
| Not Available |
| Full Name | Buphant Society |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1045 N. Eldorado, Stockton, California |
| Authorized Official Name and Position | David Grayson (CEO) |
| Authorized Official Contact | 2096706799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buphant Society 1045 N. Eldorado #11 Stockton CA 95202 Ph: () - | Buphant Society 1045 N. Eldorado 11 Stockton CA 95202 Ph: (209) 670-6799 |
| NPI Number | 1255708855 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 08/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255708855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | IMF 85548 (California) | Primary |
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