Organization
GLOM SUBSTANCE ABUSE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN TURNER (EXECUTIVE DIRECTOR)
(925) 570-3282
Entity
Organization
Contact information
Practice address
130 W FLORA ST, STOCKTON, CA 95202-1636
(925) 334-7186
Mailing address
3131 INDEPENDENCE DR, LIVERMORE, CA 94551-7595
(925) 570-3282
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
08/22/2024
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