| Calpride | |
|
1202 H St Ste D Modesto CA 95354-2443 | |
| (209) 567-2662 | |
| Not Available |
| Full Name | Calpride |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1202 H St Ste D, Modesto, California |
| Authorized Official Name and Position | Roman Blake Scanlon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4152161851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calpride 1202 H St Ste D Modesto CA 95354-2443 Ph: (209) 567-2662 | Calpride 1202 H St Ste D Modesto CA 95354-2443 Ph: (209) 567-2662 |
| NPI Number | 1639965189 |
|---|---|
| Provider Enumeration Date | 04/18/2025 |
| Last Update Date | 01/23/2026 |
| Certification Date | 01/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639965189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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