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Tiffany Dyonne Shelton, SUDRC15344
Substance Abuse Rehabilitation Facility in Stockton, California
NPI 1891471777

Tiffany Dyonne Shelton is a Substance Abuse Rehabilitation Facility based in Stockton, CA. Tiffany Dyonne Shelton practices in Stockton, CA and has the professional credentials of SUDRC15344. The NPI Number for Tiffany Dyonne Shelton is 1891471777 and holds a License No. 39007BN (California).

The current practice location address for Tiffany Dyonne Shelton is 1981 Cherokee Rd, Stockton, CA and can be reached out via phone at 209-870-6500. You can also correspond with Tiffany Dyonne Shelton through the mailing address at 1981 CHEROKEE RD, STOCKTON, CA - 95205 (mailing address contact number: 209-870-6500).

Location: 1981 Cherokee Rd, Stockton, CA, 95205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891471777
Provider Name
Tiffany Dyonne Shelton
Credential
SUDRC15344
Provider Entity Type
Individual
Gender
Female
Address
1981 Cherokee Rd, Stockton, CA, 95205
Phone Number
209-870-6500
Fax Number
Provider Enumeration Date
06/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1981 Cherokee Rd
City
Stockton
State
California
Zip
95205
Phone Number
209-870-6500
Fax Number
person
Provider Business Mailing Address Details
Address
1981 Cherokee Rd
City
Stockton
State
California
Zip
95205
Phone Number
209-870-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
39007BN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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