| Gbc Los Banos Llc | |
|
135 S Center St Turlock CA 95380-4507 | |
| (800) 510-1365 | |
| Not Available |
| Full Name | Gbc Los Banos Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 135 S Center St, Turlock, California |
| Authorized Official Name and Position | Romena Kiryakous (CEO) |
| Authorized Official Contact | 2094957724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gbc Los Banos Llc 5841 N Walnut Rd Turlock CA 95382-9528 Ph: (209) 495-7724 | Gbc Los Banos Llc 135 S Center St Turlock CA 95380-4507 Ph: (800) 510-1365 |
| NPI Number | 1407657216 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407657216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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