Healthcare Provider Details

I. General information

NPI: 1336442722
Provider Name (Legal Business Name): CENTER FOR HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date: 04/29/2025
Reactivation Date: 02/06/2026

III. Provider practice location address

631 W F ST
OAKDALE CA
95361-3734
US

IV. Provider business mailing address

2000 W. BRIGGSMORE AVENUE BLDG. A
MODESTO CA
95350-4308
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

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