Organization
EL CONCILIO
Active
Other names
El Concilio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILTON WIELNEGA (MANAGER)
(209) 888-8334
Entity
Organization
Contact information
Practice address
445 N SAN JOAQUIN ST, STOCKTON, CA 95202-2026
(209) 888-8334
Mailing address
445 N SAN JOAQUIN ST, STOCKTON, CA 95202-2026
(209) 888-8334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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