Organization · Type 2 NPI

County of Stanislaus

Community/Behavioral Health Agency · Modesto, CA

NPI number 1043348485 Active

Practice location

100 Poplar Ave
Modesto, CA 95354-0510

Call (209) 558-7494 Map

Mailing address

1601 I St., Ste. 200, 2nd Fl.
Modesto, CA 95354-1110

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

45 other providers at this address

Other community/behavioral health agency providers in Modesto

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NPI record

NPI: 1043348485
Entity type: Organization (Type 2)
Issued: Feb 28, 2007
Last updated: Aug 7, 2025
Status: Active
Subpart: Yes of County of Stanislaus

Other names

<unavail>
Children's Intensive Community Support · other name
Children's Intensive Community Support · other name

Authorized official

Ruben Imperial, MBA
Behavioral Health Director
(209) 525-6225

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043348485

County of Stanislaus's National Provider Identifier is 1043348485, issued on Feb 28, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Modesto, CA. The record was last updated on Aug 7, 2025.