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1904 Richland Ave, Cert - C2 Bldg Ceres CA 95307-4562 | |
| (209) 558-4600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1904 Richland Ave, Cert - C2 Bldg, Ceres, California |
| Authorized Official Name and Position | Tony Vartan (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2095256225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1601 I St., Ste. 200, 2nd Fl. Modesto CA 95354-1110 Ph: (209) 525-6225 | 1904 Richland Ave, Cert - C2 Bldg Ceres CA 95307-4562 Ph: (209) 558-4600 |
| NPI Number | 1205969904 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205969904 | NPI | - | NPPES |
| ZZZ93575Z | Other | MEDICARE |
| 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 |