Organization
COMMUNITY BEHAVIORAL INTERVENTION SERVICES
Active
Organization
COMMUNITY BEHAVIORAL INTERVENTION SERVICES
Active
Other names
University of the Pacific
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRIS T. CLAY MA (EXECUTIVE DIRECTOR)
(209) 946-2132
Entity
Organization
Contact information
Practice address
3601 PACIFIC AVE, PSYCHOLOGY DEPARTMENT, STOCKTON, CA 95211-0110
(209) 946-2132
(209) 946-2284
Mailing address
3601 PACIFIC AVE, PSYCHOLOGY DEPARTMENT, STOCKTON, CA 95211-0110
(209) 946-2132
(209) 946-2284
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9043
MEDICAL
CA
Enumeration date
06/04/2007
Last updated
08/22/2020
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