Organization Name: | STANISLAUS COUNTY BEHAVIORAL HEALTH & RECOVERY SERVICES |
NPI Number: | 1013049444 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HERMILLE NMN CATZALCO (MENTAL HEALTH CLINICIAN I) |
Mailing Address: | 1100 Kansas Ave Ste B Modesto |
State: | CA US |
Postal Code: | 953511596 |
Phone Number: | 2095588884 |
Fax Number: | 2095588888 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |