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1629826276
MENTAL HEALTH MODESTO LLC
MODESTO, CA
NPI
1629826276
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Entity Type
Organization
Authorized Contact
SOPHIE GOMES
Authorized Official
201-306-5670
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2024-05-08
Last Update Date
2024-07-23
Business Address
MENTAL HEALTH MODESTO LLC
1101 STANDIFORD AVE STE D4
MODESTO, CA 95350-0981
Phone number: 201-306-5670
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Mailing Address
MENTAL HEALTH MODESTO LLC
2915 RED HILL AVE STE A210C
COSTA MESA, CA 92626-7979
Phone number:
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