Organization · Type 2 NPI

Lgbtq Collaborative

Community/Behavioral Health Agency · Modesto, CA

NPI number 1639965189 Active

Practice location

1202 H St Ste D
Modesto, CA 95354-2443

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…

10 other providers at this address

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NPI record

NPI: 1639965189
Entity type: Organization (Type 2)
Issued: Apr 18, 2025
Last updated: Jan 23, 2026
Status: Active

Other names

Calpride · doing business as
Calpride Sierras · doing business as
Calpride Stanislaus · doing business as
Calpride Valle Central · doing business as

Authorized official

Mr. Roman Blake Scanlon
Executive Director
(415) 216-1851

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About NPI 1639965189

Lgbtq Collaborative's National Provider Identifier is 1639965189, issued on Apr 18, 2025. 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 Jan 23, 2026.