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Organization
STANISLAUS COUNTY BHRS
Active
Organization
STANISLAUS COUNTY BHRS
Active
Parent organization
STANISLAUS COUNTY BHRS
Other names
MHSA HEALTH/MENTAL HEALTH TEAM
Organization subpart
Yes
Provider details
NPI number
Legal business name
STANISLAUS COUNTY BHRS
Authorized official
RICHARD DEGETTE MFT (BEHAVIORAL HEALTH DIRECTOR)
(209) 525-6225
Entity
Organization
Contact information
Practice address
1301 G ST, MODESTO, CA 95354-2421
(209) 525-7423
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6885
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50A8
—
CA
05
—
BV659B
—
CA
01
—
ZZZ06630Z
MEDICARE
—
Enumeration date
03/05/2007
Last updated
11/04/2016
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