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Organization
NORTHERN CALIFORNIA YOUTH CENTER
Active
Organization
NORTHERN CALIFORNIA YOUTH CENTER
Active
Other names
NCYCC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN WONG D.O (CHIEF OF PHYSICIANS AND SURGEONS)
(209) 944-6365
Entity
Organization
Contact information
Practice address
7650 NEWCASTLE RD, STOCKTON, CA 95215-9663
(209) 463-9085
(209) 465-8627
Mailing address
PO BOX 213004, STOCKTON, CA 95213-9004
(209) 463-9085
(209) 465-8627
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LCF 35788
CA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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