Carcido's Icf 5 (j&m)
NPI #1992912513 in Stockton, California
Provider Information
- NPI Number
- 1992912513
- Entity Type
- Organization
- Organization Name
- Carcido's Icf 5 (j&m)
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1905 AMBERWOOD CT
- City
- Stockton
- State
- California
- ZIP Code
- 95207-8812
- Phone
- (209) 471-0814
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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