| Latino Behavior Health & Recovery Services | |
|
1755 W Hammer Ln Ste 8 Stockton CA 95209-2900 | |
| (209) 444-8910 | |
| (209) 444-8905 |
| Full Name | Latino Behavior Health & Recovery Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1755 W Hammer Ln Ste 8, Stockton, California |
| Authorized Official Name and Position | Gloria Patricia Ayala-briscoe (MSW INTERN) |
| Authorized Official Contact | 2094448910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latino Behavior Health & Recovery Services 1755 W Hammer Ln Ste 8 Stockton CA 95209-2900 Ph: (209) 444-8910 | Latino Behavior Health & Recovery Services 1755 W Hammer Ln Ste 8 Stockton CA 95209-2900 Ph: (209) 444-8910 |
| NPI Number | 1194001941 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 10/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194001941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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