Organization
COUNTY OF STANISLAUS
Active
Organization
COUNTY OF STANISLAUS
Active
Parent organization
COUNTY OF STANISLAUS
Other names
JOSIE'S PLACE SERVICE TEAM & DROP-IN CENTERS, STANISLAUS COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES
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
1208 9TH ST, MODESTO, CA 95354
(209) 558-4081
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-4081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50A7
—
CA
01
—
ZZZZ07610Z
MEDICARE
—
Enumeration date
01/25/2008
Last updated
09/02/2020
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