BUPHANT SOCIETY
Organization (NPI-2)
Active
Community/Behavioral Health
Provider Information
- NPI Number
1255708855- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1045 N. ELDORADO 11, STOCKTON, CA, 95202
- Phone
- (209) 670-6799
Specialties & Taxonomies
Community/Behavioral Health
Primary License: CA #IMF 85548
All Addresses
MAILING
1045 N. ELDORADO #11
STOCKTON, CA, 95202