| San Joaquin County Mh Services Tracy Clinic | |
|
220 W 11th St Tracy CA 95376-3944 | |
| (209) 468-8778 | |
| (209) 468-2399 |
| Full Name | San Joaquin County Mh Services Tracy Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 220 W 11th St, Tracy, California |
| Authorized Official Name and Position | Genevieve Valentine (DIRECTOR-BEHAVIORAL HEALTH SERVICES) |
| Authorized Official Contact | 2094688750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Joaquin County Mh Services Tracy Clinic 1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8778 | San Joaquin County Mh Services Tracy Clinic 220 W 11th St Tracy CA 95376-3944 Ph: (209) 468-8778 |
| NPI Number | 1306051370 |
|---|---|
| Provider Enumeration Date | 05/13/2007 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306051370 | NPI | - | NPPES |
| 9048 | Medicaid | CA |
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