Organization · Type 2 NPI

County of Stanislaus

Community/Behavioral Health Agency · Modesto, CA

NPI number 1174651236 Active

Practice location

2215 Blue Gum Ave
Modesto, CA 95358-1052

Call (209) 525-6225 Map

Mailing address

800 Scenic Drive, Bldg. 4
Modesto, CA 95350-6131

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…

25 other providers at this address

Other community/behavioral health agency providers in Modesto

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NPI record

NPI: 1174651236
Entity type: Organization (Type 2)
Issued: Mar 1, 2007
Last updated: Mar 10, 2022
Status: Active
Subpart: Yes of County of Stanislaus

Other names

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Juvenile Justice - Csoc · other name
Juvenile Justice - Csoc · other name

Authorized official

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

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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 1174651236

County of Stanislaus's National Provider Identifier is 1174651236, issued on Mar 1, 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 Mar 10, 2022.