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SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI 1497968184


NPI Information

NPI: 1497968184
Provider Name: SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Doing Business As: FAMILY TIES

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
7178 SOUTH RECOVERY ROAD
FRENCH CAMP, CA
ZIP 95231
Phone: (209) 468-6208
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SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES is a substance abuse treatment and children substance abuse rehabilitation facility in French Camp, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI is 1497968184. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Ties.

The provider's business location address is:

7178 SOUTH RECOVERY ROAD
FRENCH CAMP, CA
ZIP 95231
Phone: (209) 468-6208
Fax: (209) 468-7032

The provider's authorized official is Betsey Pettis .
The authorized official title is Deputy Director and has the following contact phone number (209) 468-8845.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 4/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children390002ENCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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