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Organization

THE AMELIA ANN ADAMS WHOLE LIFE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA PEOPLES (EXECUTIVE DIRECTOR)
(209) 430-2917
Entity
Organization

Contact information

Practice address
6702 INGLEWOOD AVE STE K, STOCKTON, CA 95207-3874
(209) 430-2917
Mailing address
PO BOX 1694, STOCKTON, CA 95201-1694
(209) 888-7174

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
04/25/2023
Last updated
04/25/2023
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