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Organization

NEW DIMENSIONS FOSTER FAMILY AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANNON ROBERTS MSW (CEO/EXECUTIVE DIRECTOR)
(209) 526-1837
Entity
Organization

Contact information

Practice address
1620 N CARPENTER RD STE D49, MODESTO, CA 95351-1188
(209) 526-1837
Mailing address
PO BOX 581287, MODESTO, CA 95358-0023
(209) 526-1837

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
05/15/2024
Last updated
05/15/2024
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