Organization
COUNTY OF STANISLAUS
Active
Parent organization
COUNTY OF STANISLAUS
Other names
Co-Occuring Treatment (COT), STANISLAUS COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF STANISLAUS
Authorized official
RUBEN IMPERIAL MBA (BEHAVIORAL HEALTH DIRECTOR)
(209) 525-6225
Entity
Organization
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-6225
Mailing address
800 SCENIC DRIVE, BLDG. 4, MODESTO, CA 95350-6131
(209) 525-6225
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50A6
—
CA
Enumeration date
03/02/2007
Last updated
09/01/2020
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