Premium Mental Health Services

LBN: Aspen Family Medical Group Of Modesto, Inc
Premium Mental Health Services is an health care organization with primary practice located at 1130 Coffee Rd Ste 10 , Modesto CA 95355-4228. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Aspen Family Medical Group Of Modesto, Inc can be contacted via phone (559) 495-8659, or through Gutierrez, Mariela via phone (209) 522-9054.

Contact Information

Primary practice address
1130 Coffee Rd Ste 10 Modesto CA 95355-4228
Phone: (559) 495-8659
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gutierrez, Mariela MEDICAL ASSISTANT
Phone: (209) 522-9054

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1689458051
LBN Legal business name Aspen Family Medical Group Of Modesto, Inc
DBA Doing business as Premium Mental Health Services
Authorized official Gutierrez, Mariela MEDICAL ASSISTANT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2023
Last updated May 2nd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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