Organization
HEALTHY CONNECTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST JOSEPH VASTI MD (MEDICAL DIRECTOR)
(209) 463-0870
Entity
Organization
Contact information
Practice address
1235 W VINE ST, SUITE 20, LODI, CA 95240-5144
(209) 339-7410
(209) 339-8778
Mailing address
1947 N CALIFORNIA ST STE C, STOCKTON, CA 95204-6029
(209) 463-0870
(209) 463-1803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
11/06/2012
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