Organization
COUNTY OF STANISLAUS
Active
Parent organization
COUNTY OF STANISLAUS
Other names
Children's Early Intervention
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF STANISLAUS
Authorized official
RUBEN IMPERIAL MBA (BEHAVIORAL HEALTH DIRECTOR)
(209) 525-6225
Entity
Organization
Contact information
Practice address
101 PARK AVE, MODESTO, CA 95354-0556
(209) 558-4595
Mailing address
1601 I ST., STE. 200, 2ND FL., MODESTO, CA 95354-1110
(209) 525-6225
(209) 558-4326
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
06/25/2025
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