Boys & Girls Clubs of Stanislaus County
NPI #1598644304 in Modesto, California
Provider Information
- NPI Number
- 1598644304
- Entity Type
- Organization
- Organization Name
- Boys & Girls Clubs of Stanislaus County
- Primary Specialty
- Supports Brokerage
- Enumeration Date
- Aug 27, 2025
- Last Updated
- Aug 27, 2025
Practice Location
- Address
- 819 17TH ST
- City
- Modesto
- State
- California
- ZIP Code
- 95354-1250
- Phone
- (209) 222-5826
Authorized Official
- Name
- MR. JEREMY JAMES MARTINEZ, MPA, CCMC
- Title
- CEO
- Phone
- (209) 222-5826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Technician - Personal Care Attendant — Personal Care Attendant |
| Homemaker |
| Supports Brokerage |
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