Organization
MHS STANISLAUS TEEN RECOVERY CENTER
Active
Organization
MHS STANISLAUS TEEN RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE MANUEL CASTILLO JR. SAC (SUBSTANCE ABUSE COUNSELOR)
(209) 577-3595
Entity
Organization
Contact information
Practice address
3140 N PARK CT, TURLOCK, CA 95382-1341
(209) 667-4034
Mailing address
3140 N PARK CT, TURLOCK, CA 95382-1341
(209) 667-4034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
25
CA
Other
Enumeration date
07/05/2007
Last updated
08/22/2020
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