Organization · Type 2 NPI

Children's Home of Stockton

Emotionally Disturbed Childrens' Residential Treatment Facility · Stockton, CA

NPI number 1477026334 Active

Practice location

1227 E Lindsay St
Stockton, CA 95205-4410

Call (209) 466-0853 Map

Mailing address

430 N Pilgrim St
Stockton, CA 95205-4428

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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NPI record

NPI: 1477026334
Entity type: Organization (Type 2)
Issued: Jan 3, 2019
Last updated: Jan 16, 2019
Status: Active
Subpart: Yes of Children's Home of Stockton

Other names

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Triplex Cottages · other name
Triplex Cottages · other name

Authorized official

Joelle Ann Gomez
CEO
(209) 466-0853

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 1477026334

Children's Home of Stockton's National Provider Identifier is 1477026334, issued on Jan 3, 2019. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Stockton, CA. The record was last updated on Jan 16, 2019.