| Stanislaus County Bhrs | |
|
2215 Blue Gum Ave Modesto CA 95358-1052 | |
| (209) 558-4752 | |
| Not Available |
| Full Name | Stanislaus County Bhrs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2215 Blue Gum Ave, Modesto, California |
| Authorized Official Name and Position | Richard Degette (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2095256225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanislaus County Bhrs 800 Scenic Dr Modesto CA 95350-6131 Ph: (209) 525-6225 | Stanislaus County Bhrs 2215 Blue Gum Ave Modesto CA 95358-1052 Ph: (209) 558-4752 |
| NPI Number | 1134320856 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134320856 | NPI | - | NPPES |
| 5006 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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