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NPI Code Detail

MEDICARE: CHILDREN'S HOME OF STOCKTON

MEDICARE: CHILDREN'S HOME OF STOCKTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1790265023
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S HOME OF STOCKTON
Provider Business Mailing Address
First Line : 430 N PILGRIM ST
Second Line :
City : STOCKTON
State : CA
Zip : 95205-4428
Country : US
Telephone Number : 209-466-0853
Fax Number : 209-466-6808
Provider Business Practice Location Address
First Line : 430 N PILGRIM ST
Second Line :
City : STOCKTON
State : CA
Zip : 95205-4428
Country : US
Telephone Number : 209-466-0853
Fax Number : 209-466-6808
Authorized Official
Title or Position : HEAD OF SERVICE
Name : JANAE ALYCE REINHARDT
Credential : LCSW
Telephone Number : 209-466-0853
Provider Enumeration Date : 08/16/2018
Last Update Date : 03/10/2025

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Directions to “CHILDREN'S HOME OF STOCKTON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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