Organization
BHS CHILDREN AND YOUTH SERV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORNA STEPHANIE TRUJILLO ASW (MHC1)
(209) 468-4240
Entity
Organization
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-2385
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-2385
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
ASW 28264
CA
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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