| |
1920 Memorial Dr Ceres CA 95307-1827 | |
(209) 541-2191 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1920 Memorial Dr, Ceres, California |
Authorized Official Name and Position | Richard Degette (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Contact | 2095256225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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800 Scenic Dr Modesto CA 95350-6131 Ph: (209) 525-6225 | 1920 Memorial Dr Ceres CA 95307-1827 Ph: (209) 541-2191 |
NPI Number | 1649303546 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 11/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649303546 | NPI | - | NPPES |
50AT | Medicaid | CA |
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 |