# THE AMELIA ANN ADAMS WHOLE LIFE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285322701
- **Authorized official:** CHRISTINA PEOPLES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (209) 430-2917

## Contact information

- **Practice address:** 6702 INGLEWOOD AVE STE K, STOCKTON, CA 95207-3874
- **Practice address phone:** (209) 430-2917
- **Mailing address:** PO BOX 1694, STOCKTON, CA 95201-1694
- **Mailing address phone:** (209) 888-7174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 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