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251 E Hackett Rd Modesto CA 95358-9800 | |
| (209) 526-1476 | |
| (209) 526-0908 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 251 E Hackett Rd, Modesto, California |
| Authorized Official Name and Position | Cindy Duenas (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2095261476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1700 Mchenry Village Way Ste 11 Modesto CA 95350-4308 Ph: (209) 526-1476 | 251 E Hackett Rd Modesto CA 95358-9800 Ph: (209) 526-1476 |
| NPI Number | 1366653883 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366653883 | NPI | - | NPPES |
| 5046 | Medicaid | CA |
| 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 | |