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823 E Orangeburg Ave Modesto CA 95350-4619 | |
| (209) 527-9797 | |
| (209) 527-9825 |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 823 E Orangeburg Ave, Modesto, California |
| Authorized Official Name and Position | Cathy Robison (MANAGING PARTNER) |
| Authorized Official Contact | 2095279797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
823 E Orangeburg Ave Modesto CA 95350-4619 Ph: (209) 527-9797 | 823 E Orangeburg Ave Modesto CA 95350-4619 Ph: (209) 527-9797 |
| NPI Number | 1629747142 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629747142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |