Organization Name: | SAN JOAQUIN COUNTY BEHAVIOR HEALTH SUBSTANCE ABUSE SERVICES |
NPI Number: | 1437270733 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT LEA (DIRECTOR) |
Mailing Address: | 750 Birch Ct Galt |
State: | CA US |
Postal Code: | 956328768 |
Phone Number: | 2097454370 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |