Glom Substance Abuse Program

Specialty details in registry · Stockton, CA

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At a glance

130 W Flora St, Stockton, CA 95202-1636

NPPES record updated Aug 22, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

130 W Flora St
Stockton, CA 95202-1636

Additional reported practice locations

1020 W Main St
Merced, CA 953404521
Phone: 9253347186

1111 W Tokay St
Lodi, CA 952403965
Phone: 9253347186

Professional details: NPI, taxonomy & registry record

NPI1629755970

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QR0405X
Enumeration date: Jun 29, 2023
Record updated: Aug 22, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QR0405X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

130 W Flora St
Stockton, CA 95202-1636

Phone: (925) 334-7186

Mailing address

3131 INDEPENDENCE DR

LIVERMORE, CA 945517595

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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