| Sjc-managed Care Fee For Rn | |
|
1212 N California St Stockton CA 95202-1552 | |
| (209) 468-8700 | |
| (209) 468-2399 |
| Full Name | Sjc-managed Care Fee For Rn |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1212 N California St, Stockton, California |
| Authorized Official Name and Position | Genevieve Valentine (DIRECTOR, BEHAVIORAL HEALTH SERVICE) |
| Authorized Official Contact | 2094688750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjc-managed Care Fee For Rn 1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8778 | Sjc-managed Care Fee For Rn 1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8700 |
| NPI Number | 1629270178 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629270178 | NPI | - | NPPES |
| 9027 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Mhsa-la Familia Fsp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8700 Fax: 209-462-2399 | |
Victor Community Support Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 S Holt Rd, Stockton, CA 95206 Phone: 209-969-5258 Fax: 530-230-1265 | |
Sjc-mhs Community Corrections Partnership-bhs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8778 Fax: 209-468-2399 | |
My Personal Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Coach St, Stockton, CA 95209 Phone: 209-477-4048 | |
Valley Community Counseling Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240 Fax: 209-956-4245 | |
Mhsa Goals Fsp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8700 Fax: 209-468-2399 | |
O'connor Woods Housing Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Wagner Heights Rd, Stockton, CA 95209 Phone: 209-476-4036 Fax: 209-476-4042 |