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Organization · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Stockton, CA

NPI
1447466321
Type
Organization (Type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facility, Intellectual and/or Developmental Disabilities)
Specialty group
Residential Treatment Facilities
Taxonomy code
320600000X
License number
LTC60555F (CA)
Enumerated
2007-05-15
Last updated
2020-08-22
Practice location
8514 Colonial Dr
Stockton, CA 95209-2321
(209) 473-8011

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