Organization
EL CONCILIO
Active
Other names
Latino Behavior Health & Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA PATRICIA AYALA-BRISCOE (MSW INTERN)
(209) 444-8910
Entity
Organization
Contact information
Practice address
1755 W HAMMER LN STE 8, STOCKTON, CA 95209-2900
(209) 444-8910
(209) 444-8905
Mailing address
1755 W HAMMER LN STE 8, STOCKTON, CA 95209-2900
(209) 444-8910
(209) 444-8905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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