Organization
LEGACY ALLIANCE OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BEQUETTE (PROGRAM DIRECTOR)
(925) 784-0386
Entity
Organization
Contact information
Practice address
820 H ST, MODESTO, CA 95354-3419
(209) 480-6199
Mailing address
2601 OAKDALE RD STE 154, MODESTO, CA 95355-2256
(209) 480-6199
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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