Organization
SOUTH STOCKTON CIRCLE OF FRIENDS ADULT ALCOHOL AND DRUG TREATMENT FAC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE RICHARDSON (CEO)
(209) 954-6525
Entity
Organization
Contact information
Practice address
1484 CARPENTER RD, STOCKTON, CA 95206-3805
(209) 954-6525
(209) 475-8705
Mailing address
1484 CARPENTER RD, STOCKTON, CA 95206-3805
(209) 954-6525
(209) 475-8705
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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