| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2831 G St, Merced, California |
| Authorized Official Name and Position | Mabel Eileen Patten (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2097220202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2841 G St Merced CA 95340-2133 Ph: (209) 722-0202 | 2831 G St Merced CA 95340-2133 Ph: (209) 722-0202 |
| NPI Number | 1942748348 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942748348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 247204084 (California) | Primary |
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