| Koinonia Foster Homes Inc | |
| 
					406 Motor City Ct Ste. F Modesto CA 95356-9200  | |
| (209) 577-3737 | |
| (209) 577-6950 | 
| Full Name | Koinonia Foster Homes Inc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 406 Motor City Ct, Modesto, California | 
| Authorized Official Name and Position | Deena Spann (ACCOUNTING DIRECTOR) | 
| Authorized Official Contact | 9166525802 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Koinonia Foster Homes Inc Po Box 1403 Loomis CA 95650-1403 Ph: (951) 587-4165  | Koinonia Foster Homes Inc 406 Motor City Ct Ste. F Modesto CA 95356-9200 Ph: (209) 577-3737  | 
| NPI Number | 1194260133 | 
|---|---|
| Provider Enumeration Date | 12/29/2016 | 
| Last Update Date | 02/23/2023 | 
| Certification Date | 02/23/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194260133 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
Stanislaus County Behavioral Health & Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Kansas Ave Ste B, Modesto, CA 95351 Phone: 209-558-8884 Fax: 209-558-8888  | |
Behavioral & Educational Strategies & Training Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W Rumble Rd, Modesto, CA 95350 Phone: 209-579-9444 Fax: 209-579-9494  | |
Downtown Streets, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 H St Ste 100, Modesto, CA 95354 Phone: 408-899-7350  | |
County Of Stanislaus Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 N 9th St Ste A, Modesto, CA 95350 Phone: 209-558-4598  | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966  | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966  | |
County Of Stanislaus Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Poplar Ave, Modesto, CA 95354 Phone: 209-558-7494  |