Organization
FAMILY PROMISE OF SAN JOAQUIN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORY GWASDOFF (EXECUTIVE DIRECTOR)
(209) 986-2895
Entity
Organization
Contact information
Practice address
6148 GETTYSBURG PL, STOCKTON, CA 95207-4249
(209) 323-4384
Mailing address
6148 GETTYSBURG PL, STOCKTON, CA 95207-4249
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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