Organization
COUNTY OF STANISLAUS
Active
Parent organization
COUNTY OF STANISLAUS
Other names
STANISLAUS COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES, COMMUNITY CORRECTIONS ANNEX FOR MEDICATIONS
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
190 HACKETT ROAD, MODESTO, CA 95358
(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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5040
—
CA
Enumeration date
06/01/2007
Last updated
09/02/2020
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