| Svcfs - 501527 | |
|
611 13th St Modesto CA 95354-2435 | |
| (209) 550-5879 | |
| Not Available |
| Full Name | Svcfs - 501527 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 611 13th St, Modesto, California |
| Authorized Official Name and Position | Stacey Bronken (QUALITY ASSURANCE COORDINATOR) |
| Authorized Official Contact | 2095234610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Svcfs - 501527 100 Poplar Ave Modesto CA 95354-0510 Ph: (209) 523-4573 | Svcfs - 501527 611 13th St Modesto CA 95354-2435 Ph: (209) 550-5879 |
| NPI Number | 1497888218 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497888218 | NPI | - | NPPES |
| 5078 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Sierra Vista - Adhd Ii Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Mchenry Village Way, Modesto, CA 95350 Phone: 209-550-5850 | |
Stanislaus County Behavioral Health & Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Kansas Ave Ste B, Modesto, CA 95351 Phone: 209-558-8884 Fax: 209-558-8888 | |
B.e.s.t. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W Rumble Rd, Modesto, CA 95350 Phone: 209-579-9444 Fax: 209-579-9494 | |
Adult Medication Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 N 9th St Ste A, Modesto, CA 95350 Phone: 209-558-4598 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |
Children's Intensive Community Support Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 E Morris Ave Bldg A, Modesto, CA 95354 Phone: 209-558-7494 |