Organization
LITTLE MANILA FOUNDATION
Active
Other names
Little Manila Rising
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH DIVINO (HOLISTIC HEALTH DIRECTOR)
(209) 487-2709
Entity
Organization
Contact information
Practice address
819 HOUSTON AVE, STOCKTON, CA 95206-2864
(209) 213-8532
Mailing address
2154 S SAN JOAQUIN ST, STOCKTON, CA 95206-3254
(209) 214-8532
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
02/26/2024
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