A Step Forward, A Path To Wellness
Community/Behavioral Health in Turlock, CA. Organization (NPI-2).
NPI number1205458288
StatusActive
Last updated in NPPESJan 3, 2023
Details
- NPI
- 1205458288
- Entity type
- Organization (NPI-2)
- Legal business name
- A Step Forward, A Path To Wellness
- Organization subpart
- No
- Enumeration date
- May 12, 2020
- Certification date
- Jan 3, 2023
- Last updated
- Jan 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – |
Other names
- Manuel J Jimenez Jr, Marriage Family Therapist, Professional Corp. (Doing Business As)
Practice location
2111 Geer Rd Ste 504Turlock, CA 95382-2472
Phone 209-406-7665 · Fax 209-633-3031
Mailing address
875 Geer RdTurlock, CA 95380-3311
Phone 209-406-7665 · Fax 209-633-3031
Authorized official
Manuel Jimenez Jimenez
President
2094067665
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