Whalio Doctors

NPI 1003042383

Mhn Services

Organisation Point of Service Modesto, CA

Practice location

Address
2260 Floyd Ave Suite 100, Modesto, CA 95355-9600
Phone
(209) 552-3585
Fax
(209) 523-0429

Authorised official

Name
Karl David Meabrod
Title
Manager Chemical Depency Programs
Phone
(209) 552-3585

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 500012AP (CA)

Registry record

NPI
1003042383
Entity type
Organization
NPI issued
1 Jun 2009
Record last updated
1 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.