| Ea Family Services | |
|
525 W Kettleman Ln Lodi CA 95240-6005 | |
| (530) 369-1939 | |
| Not Available |
| Full Name | Ea Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 525 W Kettleman Ln, Lodi, California |
| Authorized Official Name and Position | Melody King (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5302833330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ea Family Services 525 W Kettleman Ln Lodi CA 95240-6005 Ph: (530) 369-1939 | Ea Family Services 525 W Kettleman Ln Lodi CA 95240-6005 Ph: (530) 369-1939 |
| NPI Number | 1477173813 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477173813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251X00000X | Supports Brokerage | (* (Not Available)) | Secondary |
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