OrganizationActive
Bhs Children and Youth Serv
NPI 1629406103 · Point of Service · Stockton, CA
Provider details
- NPI number
- 1629406103
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lorna Trujillo, Mhc1(209) 468-4240
- License
- ASW 28264 (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-2385
Approximate (ZIP-level) locationGet directions
Mailing address
1212 N California St
Stockton, CA 95202-1552
Registry dates
- Enumerated
- 2013-10-21
- Last updated
- 2013-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.