| |
2101 Geer Rd Ste 120 Turlock CA 95382 | |
(209) 664-8044 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 2101 Geer Rd Ste 120, Turlock, California |
Authorized Official Name and Position | Tony Vartan (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Contact | 2095256225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1601 I St., Ste. 200, 2nd Fl. Modesto CA 95354-1110 Ph: (209) 525-6225 | 2101 Geer Rd Ste 120 Turlock CA 95382 Ph: (209) 664-8044 |
NPI Number | 1225166739 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 05/01/2024 |
Certification Date | 05/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225166739 | NPI | - | NPPES |
5012 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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