Organization
STOCKTON CIRCLE OF FRIENDS ADULT PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIBA JEAN BELL (EXECUTIVE DIRECTOR)
(209) 684-6542
Entity
Organization
Contact information
Practice address
3128 E ANITA STREET, STOCKTON, CA 95205
(209) 451-0315
Mailing address
3120 E ANITA ST, STOCKTON, CA 95205-3905
(209) 451-0315
(209) 451-0602
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
05/11/2021
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