Organization
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELINE COULTER (PROGRAM MANAGER)
(209) 468-8842
Entity
Organization
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8842
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
101YM0800X
CA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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