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Organization

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH

Active
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Organization

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH

Active
Other names
Mental Health Sevices
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRADLEY E. CHASE (MENTAL HEALTH SPECIALIST)
(209) 468-8660
Entity
Organization

Contact information

Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 648-8660
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 484-9350
(209) 468-2399

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
273R00000X
Psychiatric Hospital Unit
Primary
283Q00000X
Psychiatric Hospital

Other

Enumeration date
03/01/2011
Last updated
03/01/2011
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