San Joaquin County-mh Services Lodi Clinic | |
1209 W Tokay Street Suite 1, 3, 5, 7, 12, 14, And 16 Lodi CA 95240-3845 | |
(209) 468-8700 | |
(209) 468-2399 |
Full Name | San Joaquin County-mh Services Lodi Clinic |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1209 W Tokay Street, Lodi, California |
Authorized Official Name and Position | Genevieve Valentine (DIRECTOR OF BEHAVIORAL HEALTH) |
Authorized Official Contact | 2094688750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Joaquin County-mh Services Lodi Clinic 1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8778 | San Joaquin County-mh Services Lodi Clinic 1209 W Tokay Street Suite 1, 3, 5, 7, 12, 14, And 16 Lodi CA 95240-3845 Ph: (209) 468-8700 |
NPI Number | 1265647234 |
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Provider Enumeration Date | 05/13/2007 |
Last Update Date | 05/08/2024 |
Certification Date | 05/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265647234 | NPI | - | NPPES |
3924 | Medicaid | CA |
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