# FAMILY PROMISE OF SAN JOAQUIN COUNTY

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

## Provider details

- **NPI number:** 1386452175
- **Authorized official:** JORY GWASDOFF (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (209) 986-2895

## Contact information

- **Practice address:** 6148 GETTYSBURG PL, STOCKTON, CA 95207-4249
- **Practice address phone:** (209) 323-4384
- **Mailing address:** 6148 GETTYSBURG PL, STOCKTON, CA 95207-4249

## Taxonomy

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

## Other

- **Enumeration date:** 12/25/2024
- **Last updated:** 12/25/2024