Organization
HUMAN SERVICES PROJECT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTI FREDERICKS LMFT (EXECUTIVE DIRECTOR)
(209) 477-9177
Entity
Organization
Contact information
Practice address
5361 N PERSHING AVE STE H, STOCKTON, CA 95207-5450
(209) 477-9177
(209) 477-4667
Mailing address
5361 N PERSHING AVE STE H, STOCKTON, CA 95207-5450
(209) 477-9177
(209) 477-4667
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
803794908
CA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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