Sunhouse | |
1781 Willow Park Way Stockton CA 95206-5832 | |
(209) 479-1536 | |
(209) 479-1536 |
Full Name | Sunhouse |
---|---|
Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 1781 Willow Park Way, Stockton, California |
Authorized Official Name and Position | Jo Ann Rimmer (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2094791536 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunhouse 1781 Willow Park Way Stockton CA 95206-5832 Ph: (209) 479-1536 | Sunhouse 1781 Willow Park Way Stockton CA 95206-5832 Ph: (209) 479-1536 |
NPI Number | 1609387117 |
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Provider Enumeration Date | 10/24/2017 |
Last Update Date | 10/24/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609387117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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