COMMUNITY RE-ENTRY PROGRAM is a student in an organized health care education training program in Stockton, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. COMMUNITY RE-ENTRY PROGRAM NPI is 1477896173. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3601 PACIFIC AVE
STOCKTON, CA
ZIP 95211-110
Phone: (209) 256-3446
The provider's authorized official is Cris Clay .
The authorized official title is Program Director and has the following contact phone number (209) 256-3446.
The enumeration date for this NPI number is 4/1/2013 and was last updated on 4/1/2013.