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Organization
PORT CITY OPERATING COMPANY, LLC
Active
Organization
PORT CITY OPERATING COMPANY, LLC
Active
Parent organization
DIGNITY HEALTH
Other names
St. Joseph's Behavioral Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
ANDREA NICOLE OCHOA (CHIEF FINANCIAL OFFICER)
(209) 467-6442
Entity
Organization
Contact information
Practice address
510 E MAGNOLIA ST STE 100, STOCKTON, CA 95202-1850
(209) 461-2054
Mailing address
510 E MAGNOLIA ST STE 100, STOCKTON, CA 95202-1850
(209) 461-2054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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