# CHILDREN'S HOME OF STOCKTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S HOME OF STOCKTON
- **Other names:** Triplex Cottages
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477026334
- **Legal business name:** CHILDREN'S HOME OF STOCKTON
- **Authorized official:** JOELLE ANN GOMEZ (CEO)
- **Authorized official phone:** (209) 466-0853

## Contact information

- **Practice address:** 1227 E LINDSAY ST, STOCKTON, CA 95205-4410
- **Practice address phone:** (209) 466-0853
- **Mailing address:** 430 N PILGRIM ST, STOCKTON, CA 95205-4428
- **Mailing address phone:** (209) 466-0853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2019
- **Last updated:** 01/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 390332238 | — | CA |