| Mary Magdalene Community Services | |
|
440 N El Dorado St Stockton CA 95202-1950 | |
| (200) 988-8451 | |
| (209) 888-4535 |
| Full Name | Mary Magdalene Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 440 N El Dorado St, Stockton, California |
| Authorized Official Name and Position | Geneva Haynes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2098884519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Magdalene Community Services 440 N El Dorado St Stockton CA 95202-1950 Ph: (200) 988-8451 | Mary Magdalene Community Services 440 N El Dorado St Stockton CA 95202-1950 Ph: (200) 988-8451 |
| NPI Number | 1699136440 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699136440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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