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500 N 9th St Ste D Modesto CA 95350-5814 | |
| (209) 558-4598 | |
| (209) 558-4586 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 N 9th St Ste D, Modesto, California |
| Authorized Official Name and Position | Tony Vartan (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2095256225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1601 I St., Ste. 200, 2nd Fl. Modesto CA 95354-1110 Ph: (209) 525-6225 | 500 N 9th St Ste D Modesto CA 95350-5814 Ph: (209) 558-4598 |
| NPI Number | 1578691903 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578691903 | NPI | - | NPPES |
| ZZZ89558Z | Medicaid | CA | |
| 5018 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (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 | |