Organization
LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
Active
Parent organization
LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
Authorized official
MIXTLICOATL R GONZALEZ (DATA SYSTEMS MANAGER)
(916) 900-0614
Entity
Organization
Contact information
Practice address
4550 N PERSHING AVE STE 120, STOCKTON, CA 95207-6737
(916) 900-6140
Mailing address
4390 47TH AVE, SACRAMENTO, CA 95824-3700
(916) 900-6140
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/16/2022
Last updated
04/05/2022
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