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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