Glom Outpatient Services INC.
Clinic/Center, Adult Mental Health in Stockton, CA. Organization (NPI-2).
NPI number1417537366
StatusActive
Last updated in NPPESJul 6, 2026
Details
- NPI
- 1417537366
- Entity type
- Organization (NPI-2)
- Legal business name
- Glom Outpatient Services INC.
- Organization subpart
- No
- Enumeration date
- Apr 13, 2021
- Certification date
- Jul 6, 2026
- Last updated
- Jul 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
130 W Flora StStockton, CA 95202-1636
Phone 844-456-6677 · Fax 925-336-3148
Mailing address
3123 Independence DrLivermore, CA 94551-7595
Phone 925-999-4119 · Fax 925-800-3102
Other practice locations
1111 W Tokay St Ste A
Lodi, CA 95240-3965
Lodi, CA 95240-3965
Phone 844-456-6677 · Fax 925-336-3148
1020 W Main St
Merced, CA 95340-4521
Merced, CA 95340-4521
Phone 844-456-6677 · Fax 925-336-3148
Authorized official
Allen Turner
Executive Director
9255703282
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