Organization
UNITED CEREBRAL PALSY OF SAN JOAQUIN, CALAVERAS, AMADOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE LINK BS OF OT (CLINICAL & FAMILY SERVICES DIRECTOR)
(209) 751-3013
Entity
Organization
Contact information
Practice address
333 W BEN HOLT DR, STOCKTON, CA 95207-3906
(209) 751-3106
(209) 751-3125
Mailing address
333 W BEN HOLT DR, STOCKTON, CA 95207-3906
(209) 751-3106
(209) 751-3125
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
CA
252Y00000X
Early Intervention Provider Agency
—
CA
Other
Enumeration date
06/21/2012
Last updated
07/21/2022
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