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1803 W March Ln Ste A, C, D, G & H Stockton CA 95207-6414 | |
| (209) 363-5353 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1803 W March Ln, Stockton, California |
| Authorized Official Name and Position | Dakota Pitsker (QA MANAGER) |
| Authorized Official Contact | 9168401148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1803 W March Ln Ste Ac&d Stockton CA 95207-6458 Ph: () - | 1803 W March Ln Ste A, C, D, G & H Stockton CA 95207-6414 Ph: (209) 363-5353 |
| NPI Number | 1356804603 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356804603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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