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Organization
STANISLAUS COUNTY BHRS
Active
Organization
STANISLAUS COUNTY BHRS
Active
Parent organization
STANISLAUS COUNTY BHRS
Other names
Behavioral Health & Recovery Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
STANISLAUS COUNTY BHRS
Authorized official
RUBEN IMPERIAL MBA (BEHAVIORAL HEALTH DIRECTOR)
(209) 525-6225
Entity
Organization
Contact information
Practice address
1601 I ST., STE. 200, 2ND FL., MODESTO, CA 95354-1110
(209) 525-6225
Mailing address
1601 I ST., STE. 200, 2ND FL., MODESTO, CA 95354-1110
(209) 525-6225
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ06630Z
MEDICARE
—
01
—
ZZZ15529Z
MEDICARE ID
—
01
—
ZZZ15533Z
MEDICARE ID
—
01
—
ZZZ15534Z
MEDICARE ID
—
01
—
ZZZ15535Z
MEDICARE ID
—
01
—
ZZZ15536Z
MEDICARE ID
—
01
—
ZZZ20934Z
MEDICARE
—
01
—
ZZZ21961Z
MEDICARE ID
—
01
—
ZZZ26597Z
MEDICARE ID
—
01
—
ZZZ31213Z
MEDICARE ID
—
01
—
ZZZ89558Z
MEDICARE ID
—
01
—
ZZZ93575Z
MEDICARE ID
—
01
—
ZZZP5010Z
MEDICARE ID
—
Enumeration date
11/09/2006
Last updated
05/12/2026
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