Mhsa-Cys Foster Youth Fsp

LBN: San Joaquin County Behavioral Health Services
Mhsa-Cys Foster Youth Fsp is an health care organization with primary practice located at 620 N Aurora St , Stockton CA 95202-2343. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. San Joaquin County Behavioral Health Services can be contacted via phone (209) 468-8700, or through Valentine, Genevieve via phone (209) 468-8750.

Contact Information

Primary practice address
620 N Aurora St Stockton CA 95202-2343
Phone: (209) 468-8700
Fax: (209) 468-2399
Website:
Map and Directions
Authorized official contact:
Name: Valentine, Genevieve LMFT
Phone: (209) 468-8750

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X California

Profile Details

NPI number 1104012459
LBN Legal business name San Joaquin County Behavioral Health Services
DBA Doing business as Mhsa-Cys Foster Youth Fsp
Authorized official Valentine, Genevieve LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2007
Last updated May 10th, 2024 - about 7 months ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1104012459 NPPES
California MEDICAID 9096

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