# NORTHERN CALIFORNIA YOUTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NCYCC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346667367
- **Authorized official:** DR. ROBIN WONG D.O (CHIEF OF PHYSICIANS AND SURGEONS)
- **Authorized official phone:** (209) 944-6365

## Contact information

- **Practice address:** 7650 NEWCASTLE RD, STOCKTON, CA 95215-9663
- **Practice address phone:** (209) 463-9085
- **Practice address fax:** (209) 465-8627
- **Mailing address:** PO BOX 213004, STOCKTON, CA 95213-9004
- **Mailing address phone:** (209) 463-9085
- **Mailing address fax:** (209) 465-8627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | LCF 35788 | CA | Yes |

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 03/27/2014