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Organization
STANISLAUS COUNTY BHRS
Active
Organization
STANISLAUS COUNTY BHRS
Active
Parent organization
STANISLAUS COUNTY BHRS
Other names
DETENTION SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
STANISLAUS COUNTY BHRS
Authorized official
RUBEN IMPERIAL MBA (BEHAVIORAL HEALTH INTERIM DIRECTOR)
(209) 525-6225
Entity
Organization
Contact information
Practice address
200 E HACKETT RD, MODESTO, CA 95358-9415
(209) 525-6225
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6225
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5031
—
CA
Enumeration date
03/01/2007
Last updated
10/11/2019
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