| NPI | 1477345916 |
|---|---|
| Doing Business As | SAN JOAQUIN MCRT |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-292-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-07-28 |