MHS Stanislaus Teen Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

25 Issued in CA

Legal business name

MHS STANISLAUS TEEN RECOVERY CENTER

Practice address

3140 N Park CT
Turlock, CA 95382-1341

Phone

(209) 667-4034

NPI assigned

Jul 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jorge Manuel Castillo Jr., SACNPI 1871793323

Title

Substance Abuse Counselor

Phone

(209) 577-3595

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Manuel Castillo

  • Addiction (Substance Use Disorder) Counselor
  • Modesto, CA
  • NPI 1871793323
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881892461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 N PARK CT",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821341",
            "telephone_number": "209-667-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 N PARK CT",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821341",
            "telephone_number": "209-667-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHS STANISLAUS TEEN RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "209-577-3595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "SAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isacc Meraz
• Elena Mercado
• Luis Mercado, PA-C
• Mercy West Urgent Care Inc
• Paola Dariela de la Paz Meza Fuentes
• Michael L. Brodie
• Daphne Michael, AC
• Jesse Michael, APCC
• Michelann Genevieve Michelena, D.C.
• Alfayo Michira, PA

• Community/Behavioral Health Agency in Turlock, CA
• Providers in Turlock, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.