| Ceres Regional Services | |
|
1917 Memorial Dr Ste B Ceres CA 95307-1861 | |
| (209) 558-4752 | |
| Not Available |
| Full Name | Ceres Regional Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1917 Memorial Dr Ste B, Ceres, California |
| Authorized Official Name and Position | Denise C Hunt (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2095256225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ceres Regional Services 800 Scenic Dr Modesto CA 95350-6131 | Ceres Regional Services 1917 Memorial Dr Ste B Ceres CA 95307-1861 Ph: (209) 558-4752 |
| NPI Number | 1629279823 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629279823 | NPI | - | NPPES |
| 5010 | Medicaid | CA | |
| ZZZ15529Z | Other | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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