Organization
LILY PAD LIVING OUTREACH
Active
Parent organization
SELAH HOUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELAH HOUSE
Authorized official
MRS. DEBRA LYNNE SBRAGIA JD, SUDCC-II (EXECUTIVE DIRECTOR)
(209) 683-9300
Entity
Organization
Contact information
Practice address
333 N SAN JOAQUIN ST, STOCKTON, CA 95202-2954
(209) 683-9300
Mailing address
PO BOX 1289, STOCKTON, CA 95201-1289
(209) 683-9300
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
11/24/2025
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