Organization · Type 2 NPI

County of Stanislaus

Community/Behavioral Health Agency · Modesto, CA

NPI number 1265634281 Active

Practice location

190 Hackett Road
Modesto, CA 95358

Call (209) 525-6225 Map

Mailing address

800 Scenic Dr
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…

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NPI record

NPI: 1265634281
Entity type: Organization (Type 2)
Issued: Jun 1, 2007
Last updated: Sep 2, 2020
Status: Active
Subpart: Yes of County of Stanislaus

Other names

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Stanislaus County Behavioral Health and Recovery Services · doing business as
Community Corrections Annex for Medications · other name
Community Corrections Annex for Medications · 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 1265634281

County of Stanislaus's National Provider Identifier is 1265634281, issued on Jun 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 Sep 2, 2020.