| Bbxcs Llc | |
|
425 Benjamin Pl Manteca CA 95337-6524 | |
| (209) 603-2249 | |
| Not Available |
| Full Name | Bbxcs Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 425 Benjamin Pl, Manteca, California |
| Authorized Official Name and Position | Chelsea Alexandrena Silveira Burgos (MANAGER) |
| Authorized Official Contact | 2096032249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbxcs Llc 425 Benjamin Pl Manteca CA 95337-6524 Ph: (209) 603-2249 | Bbxcs Llc 425 Benjamin Pl Manteca CA 95337-6524 Ph: (209) 603-2249 |
| NPI Number | 1265103931 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265103931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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