Organization
COUNTY OF STANISLAUS
Active
Parent organization
COUNTY OF STANISLAUS
Other names
BHRS Assessment Team
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF STANISLAUS
Authorized official
RUBEN IMPERIAL MBA (BEHAVIORAL HEALTH DIRECTOR)
(209) 525-6225
Entity
Organization
Contact information
Practice address
1540 FLORIDA AVE STE 212, MODESTO, CA 95350-4430
(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
Enumeration date
07/23/2021
Last updated
08/04/2021
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