JUVENILE JUSTICE - CSOC
NPI 1174651236
Community/Behavioral Health in Modesto, CA

Q: What is County Of Stanislaus's NPI number?

The NPI number for County Of Stanislaus is 1174651236. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider is also known as Juvenile Justice - Csoc.

Q: What is County Of Stanislaus's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 01, 2007

2215 BLUE GUM AVE, MODESTO, CA 95358(209) 525-6225 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2022, Sep 2, 2020, Oct 11, 2019 and 1 more (4 updates tracked since 2016).

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About Juvenile Justice - Csoc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUVENILE JUSTICE - CSOC (NPI 1174651236) is a healthcare organization registered as a community/behavioral health in Modesto, California and active in the NPI registry since March 2007. The organization lists Ruben Imperial, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1174651236

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOUNTY OF STANISLAUS

Location Address2215 BLUE GUM AVEModesto, CA 95358-1052

Mailing Address800 Scenic Drive, Bldg. 4Modesto, CA 95350-6131 · (209) 525-6225

Phone(209) 525-6225

Organization SubpartYes

Authorized OfficialRuben ImperialBehavioral Health Director · (209) 525-6225

Enumeration DateMarch 1, 2007

Last NPPES UpdateMarch 10, 20224 updates tracked since enumeration

NPPES CertifiedMarch 10, 2022

✔ NPI 1174651236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2215 BLUE GUM AVE, Modesto, CA 95358

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Other Names 1

Other NameJuvenile Justice - Csoc

Other Identifiers 1

Medicaid5048CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARTHA ANGELICA ESTRADA MFT INTERN

Marriage & Family Therapist