Healthcare Provider Details

I. General information

NPI: 1265554042
Provider Name (Legal Business Name): SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date: 06/03/2008
Reactivation Date: 01/30/2014

III. Provider practice location address

7233 SOUTH DELIVERY RD.
FRENCH CAMP CA
95231-9693
US

IV. Provider business mailing address

1212 N CALIFORNIA ST
STOCKTON CA
95202-1552
US

V. Phone/Fax

Practice location:
  • Phone: 209-468-6857
  • Fax: 209-468-6739
Mailing address:
  • Phone: 209-468-0651
  • Fax: 209-468-6739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number324500000
License Number StateCA

VIII. Authorized Official

Name: GENEVIEVE VALENTINE
Title or Position: DIRECTOR-BEHAVIORAL HEALTH SERVICES
Credential: LMFT
Phone: 209-468-8750