NPI 1013480862

Children's Home of Stockton

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Stockton, CA

Practice location

Address: 1222 E Lindsay St, Stockton, CA 95205-4413
Phone: (209) 466-0853
Mailing address: 430 N Pilgrim St, Stockton, CA 95205-4428

Authorised official

Name: Joelle Gomez
Title: Ceo
Phone: (209) 466-0853

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in California →

Registry record

NPI: 1013480862
Entity type: Organization
NPI issued: 4 Jan 2019
Record last updated: 15 Jan 2019

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.