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Organization
COMMUNITY RE-ENTRY PROGRAM
Active
Organization
COMMUNITY RE-ENTRY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRIS CLAY (PROGRAM DIRECTOR)
(209) 256-3446
Entity
Organization
Contact information
Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(209) 256-3446
Mailing address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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