San Joaquin
NPI #1942584354 in French Camp, California
Provider Information
- NPI Number
- 1942584354
- Entity Type
- Organization
- Organization Name
- San Joaquin
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Oct 4, 2011
- Last Updated
- Oct 4, 2011
Practice Location
- Address
- 7000 MICHAEL CANLIS WAY
- City
- French Camp
- State
- California
- ZIP Code
- 95231-9781
- Phone
- (209) 468-5129
Authorized Official
- Name
- BELINDA GRAHAM, SPT
- Title
- SENIOR PSYCHIATRIC TECHNICIAN
- Phone
- (209) 468-5129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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