| Sjc-mhs-heart Homeless Engagement & Response Team Lodi | |
|
1209 W Tokay St Lodi CA 95240-3845 | |
| (209) 468-8778 | |
| (209) 468-2399 |
| Full Name | Sjc-mhs-heart Homeless Engagement & Response Team Lodi |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1209 W Tokay St, Lodi, California |
| Authorized Official Name and Position | Genevieve Valentine (DIRECTOR-BEHAVIORAL HEALTH SERVICES) |
| Authorized Official Contact | 2094688887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjc-mhs-heart Homeless Engagement & Response Team Lodi 1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8778 | Sjc-mhs-heart Homeless Engagement & Response Team Lodi 1209 W Tokay St Lodi CA 95240-3845 Ph: (209) 468-8778 |
| NPI Number | 1083821367 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083821367 | NPI | - | NPPES |
| 9054 | Medicaid | CA |
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