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Organization
THE AMELIA ANN ADAMS WHOLE LIFE CENTER
Active
Organization
THE AMELIA ANN ADAMS WHOLE LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA PEOPLES (EXECUTIVE DIRECTOR)
(209) 430-2917
Entity
Organization
Contact information
Practice address
6702 INGLEWOOD AVE STE K, STOCKTON, CA 95207-3874
(209) 430-2917
Mailing address
PO BOX 1694, STOCKTON, CA 95201-1694
(209) 888-7174
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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