| Parents United | |
|
610 14th St Modesto CA 95354-2505 | |
| (209) 524-4858 | |
| (209) 524-7780 |
| Full Name | Parents United |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 610 14th St, Modesto, California |
| Authorized Official Name and Position | Liseth Sales (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 2095244858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parents United 610 14th St Modesto CA 95354-2505 Ph: (209) 524-4858 | Parents United 610 14th St Modesto CA 95354-2505 Ph: (209) 524-4858 |
| NPI Number | 1073202206 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 2961855341 |
|---|---|
| Medicare Enrollment ID | O20240201002299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073202206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Liseth Sales |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811276207 PECOS PAC ID: 3870946254 Enrollment ID: I20240201002365 |
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