Sjc-Mhs Adolescent Day Services

LBN: San Joaquin County Behavioral Health Services
Sjc-Mhs Adolescent Day Services is an health care organization with primary practice located at 1212 N California St , Stockton CA 95202-1552. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. San Joaquin County Behavioral Health Services can be contacted via phone (209) 468-8750, or through Valentine, Genevieve via phone (209) 468-8750.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 468-8750
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
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1609085984
LBN Legal business name San Joaquin County Behavioral Health Services
DBA Doing business as Sjc-Mhs Adolescent Day Services
Authorized official Valentine, Genevieve LMFT
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated May 2nd, 2024 - about 6 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 1609085984 NPPES
California MEDICAID 9000

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