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1011 Coffee Rd Modesto CA 95355-4203 | |
| (209) 524-1900 | |
| (209) 524-1991 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1011 Coffee Rd, Modesto, California |
| Authorized Official Name and Position | Debra Jane Cheang (CO-OWNER/CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2095241900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1011 Coffee Rd Modesto CA 95355-4203 Ph: (209) 524-1900 | 1011 Coffee Rd Modesto CA 95355-4203 Ph: (209) 524-1900 |
| NPI Number | 1578648903 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578648903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2737085 (California) | Primary |
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 | |