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631 West F. Street Oakdale CA 95361-3734 | |
| (209) 525-6225 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 631 West F. Street, Oakdale, California |
| Authorized Official Name and Position | Ruben Imperial (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2095256225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
800 Scenic Dr Modesto CA 95350-6131 Ph: (209) 525-6225 | 631 West F. Street Oakdale CA 95361-3734 Ph: (209) 525-6225 |
| NPI Number | 1750413704 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750413704 | NPI | - | NPPES |
| 5047 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Wellspring Counseling Ministries, A Project Of Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W F St, Oakdale, CA 95361 Phone: 209-322-9801 Fax: 209-848-8825 | |
Jeanette Kay Lasater Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W F St, Oakdale, CA 95361 Phone: 209-288-2682 Fax: 209-288-2682 |