Organization
LGBTQ COLLABORATIVE
Active
Other names
CalPride, CalPride Sierras, CalPride Valle Central, CalPride Stanislaus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN BLAKE SCANLON (EXECUTIVE DIRECTOR)
(415) 216-1851
Entity
Organization
Contact information
Practice address
1202 H ST STE D, MODESTO, CA 95354-2443
(209) 567-2662
Mailing address
1202 H ST STE D, MODESTO, CA 95354-2443
(209) 567-2662
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
01/23/2026
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