Healthcare Provider Details

I. General information

NPI: 1104079300
Provider Name (Legal Business Name): CENTER FOR HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date: 04/29/2025
Reactivation Date: 02/06/2026

III. Provider practice location address

1317 GRANDVIEW AVE
CERES CA
95307-4405
US

IV. Provider business mailing address

2000 W BRIGGSMORE AVE BLDG. A
MODESTO CA
95350-3839
US

V. Phone/Fax

Practice location:
  • Phone: 209-541-0101
  • Fax: 209-541-0909
Mailing address:
  • Phone: 209-526-1476
  • Fax: 209-526-0908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GINA MACHADO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 209-526-1476