Individual provider · Type 1 NPI

Da Her

Methadone Clinic · Stockton, CA

NPI number 1285797514 Active

Practice location

1111 N El Dorado St
Stockton, CA 95202-1305

Call (209) 938-0228 Map

Fax (209) 938-0281

Mailing address

1456 Maniago Dr
Stockton, CA 95206-3882

Specialties and licenses

TaxonomyCodeLicense
Methadone Clinic Primary 261QM2800XNone listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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About NPI 1285797514

Da Her's National Provider Identifier is 1285797514, issued on Dec 18, 2006. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.