| Ift Psych Clinic | |
|
1321 I St Suite 3 Modesto CA 95354-0902 | |
| (209) 525-6225 | |
| Not Available |
| Full Name | Ift Psych Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1321 I St, Modesto, 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 |
|---|---|
| Ift Psych Clinic 800 Scenic Dr Modesto CA 95350-6131 Ph: (209) 525-6225 | Ift Psych Clinic 1321 I St Suite 3 Modesto CA 95354-0902 Ph: (209) 525-6225 |
| NPI Number | 1467654483 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467654483 | NPI | - | NPPES |
| 5031 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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