Healthcare Provider Details
I. General information
NPI: 1659042893
Provider Name (Legal Business Name): TOWNS HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2021
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
330 S FAIRMONT AVE STE 2
LODI CA
95240-3843
US
IV. Provider business mailing address
768 GRIFFEY WAY
GALT CA
95632-3065
US
V. Phone/Fax
- Phone: 209-744-9909
- Fax: 209-744-9910
- Phone: 916-612-2452
- Fax: 209-744-9910
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARK
FRANCIS
TOWNS
Title or Position: CEO THS INC.
Credential: M.D.
Phone: 209-744-9909