| One Eighty Programs | |
|
405 W Pine St Lodi CA 95240-2023 | |
| (209) 339-1616 | |
| Not Available |
| Full Name | One Eighty Programs |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 405 W Pine St, Lodi, California |
| Authorized Official Name and Position | Katherine Harper (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 2093391616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Eighty Programs 17 W Lockeford St Lodi CA 95240-2125 Ph: (209) 339-1616 | One Eighty Programs 405 W Pine St Lodi CA 95240-2023 Ph: (209) 339-1616 |
| NPI Number | 1790461804 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790461804 | NPI | - | NPPES |
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