| Children's Home Of Stockton | |
|
430 N Pilgrim St Stockton CA 95205-4428 | |
| (209) 466-0853 | |
| (209) 466-6808 |
| Full Name | Children's Home Of Stockton |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 430 N Pilgrim St, Stockton, California |
| Authorized Official Name and Position | Janae Alyce Reinhardt (HEAD OF SERVICE) |
| Authorized Official Contact | 2094660853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Home Of Stockton 430 N Pilgrim St Stockton CA 95205-4428 Ph: (209) 466-0853 | Children's Home Of Stockton 430 N Pilgrim St Stockton CA 95205-4428 Ph: (209) 466-0853 |
| NPI Number | 1790265023 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790265023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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