Carcido's Icf 1
NPI #1447466321 in Stockton, California
Provider Information
- NPI Number
- 1447466321
- Entity Type
- Organization
- Organization Name
- Carcido's Icf 1
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8514 COLONIAL DR
- City
- Stockton
- State
- California
- ZIP Code
- 95209-2321
- Phone
- (209) 473-8011
Authorized Official
- Name
- MRS. MEDINA CARCIDO
- Title
- LICENSEE
- Phone
- (209) 471-0814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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