Organization
BEHAVIORAL HEALTH AND RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HERMILLE NMN CATZALCO MFTI (MENTAL HEALTH CLINICIAN)
(209) 558-8884
Entity
Organization
Contact information
Practice address
1100 KANSAS AVE, MODESTO, CA 95351-1596
(209) 558-8884
(209) 558-8888
Mailing address
107 GREENWICH LN, MODESTO, CA 95350
(209) 558-8884
(209) 558-8888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
48233
CA
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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