Organization
MARY MAGDALENE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENEVA HAYNES MSW (EXECUTIVE DIRECTOR)
(209) 888-4519
Entity
Organization
Contact information
Practice address
440 N EL DORADO ST, STOCKTON, CA 95202-1950
(200) 988-8451
(209) 888-4535
Mailing address
440 N EL DORADO ST, STOCKTON, CA 95202-1950
(200) 988-8451
(209) 888-4535
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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