Healthcare Provider Details

I. General information

NPI: 1780532226
Provider Name (Legal Business Name): UNITED WAY OF SAN JOAQUIN COUNTY DBA SAN JOAQUIN PRIDE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E WEBER AVE
STOCKTON CA
95202-2704
US

IV. Provider business mailing address

145 E WEBER AVE
STOCKTON CA
95202-2704
US

V. Phone/Fax

Practice location:
  • Phone: 209-565-5023
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN A ALITA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 209-565-5023