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1317 Grandview Ave Ceres CA 95307-4405 | |
| (209) 541-0101 | |
| (209) 541-0909 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1317 Grandview Ave, Ceres, California |
| Authorized Official Name and Position | Gina Machado (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2095261476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2000 W Briggsmore Ave Suite I Modesto CA 95350-3839 Ph: (209) 526-1476 | 1317 Grandview Ave Ceres CA 95307-4405 Ph: (209) 541-0101 |
| NPI Number | 1104079300 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104079300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Bhrs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-525-7411 | |
Telecare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-800-3300 |