| Delta Center Family Therapy Inc | |
|
343 E Main St Ste 701 Stockton CA 95202-2977 | |
| (209) 800-4573 | |
| Not Available |
| Full Name | Delta Center Family Therapy Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 343 E Main St Ste 701, Stockton, California |
| Authorized Official Name and Position | Jonathan Robert Page (CEO) |
| Authorized Official Contact | 2098004573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Center Family Therapy Inc 343 E Main St Ste 701 Stockton CA 95202-2977 Ph: (209) 800-4573 | Delta Center Family Therapy Inc 343 E Main St Ste 701 Stockton CA 95202-2977 Ph: (209) 800-4573 |
| NPI Number | 1881241776 |
|---|---|
| Provider Enumeration Date | 08/24/2019 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881241776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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