Organization
SAN JOAQUIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA GRAHAM SPT (SENIOR PSYCHIATRIC TECHNICIAN)
(209) 468-5129
Entity
Organization
Contact information
Practice address
7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231-9781
(209) 468-5129
(209) 468-5184
Mailing address
7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231-9781
(209) 468-5129
(209) 468-5184
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
PT30322
CA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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