Children's Home of Stockton
NPI #1265905129 in Stockton, California
Provider Information
- NPI Number
- 1265905129
- Entity Type
- Organization
- Organization Name
- Children's Home of Stockton
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHILDREN'S HOME OF STOCKTON
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 3, 2019
- Last Updated
- Jan 15, 2019
Practice Location
- Address
- 1658 W EUCLID AVE
- City
- Stockton
- State
- California
- ZIP Code
- 95204-2907
- Phone
- (209) 466-0853
Authorized Official
- Name
- JOELLE GOMEZ
- Title
- CEO
- Phone
- (209) 466-0853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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