| Service First Of Northern California | |
|
Service First Of Northern California 3422 West. Hammer Lane Suite A,b,c Stockton CA 95219 | |
| (209) 888-5088 | |
| (209) 451-1334 |
| Full Name | Service First Of Northern California |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | Service First Of Northern California, Stockton, California |
| Authorized Official Name and Position | Brenda Lee Shelton (PROGRAM MANAGER) |
| Authorized Official Contact | 2097623014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Service First Of Northern California 102 W Bianchi Rd Stockton CA 95207-7132 Ph: (209) 644-6320 | Service First Of Northern California Service First Of Northern California 3422 West. Hammer Lane Suite A,b,c Stockton CA 95219 Ph: (209) 888-5088 |
| NPI Number | 1912122250 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912122250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 390017AN (California) | Primary |
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