Organization
FATHERS & FAMILIES OF SAN JOAQUIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL NUNEZ (EXECUTIVE DIRECTOR)
(209) 941-0701
Entity
Organization
Contact information
Practice address
338 E MARKET ST, STOCKTON, CA 95202-3210
(209) 941-0701
(209) 941-0784
Mailing address
338 E MARKET ST, STOCKTON, CA 95202-3210
(209) 941-0701
(209) 941-0784
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1700115721
CA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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