| Casa San Joaquin | |
|
401 S Airport Way Manteca CA 95337 | |
| (209) 825-1350 | |
| (209) 825-3476 |
| Full Name | Casa San Joaquin |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 S Airport Way, Manteca, California |
| Authorized Official Name and Position | Nzinga Harrison (CMO) |
| Authorized Official Contact | 9258254700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa San Joaquin 3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 Ph: (925) 825-4700 | Casa San Joaquin 401 S Airport Way Manteca CA 95337 Ph: (209) 825-1350 |
| NPI Number | 1548658685 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548658685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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