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Makena Therapy
Mental Health Clinic/Center (Including Community Mental Health Center) in Tracy, California
NPI 1124687363

Makena Therapy is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Tracy, CA and is specialized in Mental Health (Including Community Mental Health Center). Makena Therapy practices in Tracy, CA. The NPI Number for Makena Therapy is 1124687363 and holds a License No. (California).

The current practice location address for Makena Therapy is 1660 W Linne Rd Ste 223, Tracy, CA and can be reached out via phone at 209-346-7411.

Location: 1660 W Linne Rd Ste 223, Tracy, CA, 95304-7324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124687363
Provider Name
Makena Therapy
Credential
Provider Entity Type
Organization
Address
1660 W Linne Rd Ste 223, Tracy, CA, 95304-7324
Phone Number
209-346-7411
Fax Number
Provider Enumeration Date
06/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1660 W Linne Rd Ste 223
City
Tracy
State
California
Zip
95377-8004
Phone Number
209-346-7411
Fax Number
person
Provider Business Mailing Address Details
Address
1660 W Linne Rd Ste 223
City
Tracy
State
California
Zip
95377-8004
Phone Number
209-346-7411
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
()
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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