| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 241 E 10th St, Tracy, 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 |
|---|---|
1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8778 | 241 E 10th St Tracy CA 95376-4076 Ph: (209) 468-8778 |
| NPI Number | 1174730451 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174730451 | NPI | - | NPPES |
| 9053 | Medicaid | CA |
Aba Nest Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Iberis Ct, Tracy, CA 95376 Phone: 925-594-0908 | |
Behavioral & Educational Consulting, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Rockport Ct, Tracy, CA 95377 Phone: 209-321-8191 | |
Evolve Family Therapy Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 359 W 11th St Ste A1, Tracy, CA 95376 Phone: 209-603-2929 | |
Tri Valley Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2471 North Naglee Road, Suite 100 #1037, Tracy, CA 95304 Phone: 510-755-3004 | |