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33440 Alvarado Niles Rd Union City CA 94587-3110 | |
| (510) 400-9567 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33440 Alvarado Niles Rd, Union City, California |
| Authorized Official Name and Position | Athila Lambino (LICENSING & CERTIFICATION DIRECTOR) |
| Authorized Official Contact | 4159120605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1563 Mission St Fl 4 San Francisco CA 94103-2592 Ph: (415) 762-3700 | 33440 Alvarado Niles Rd Union City CA 94587-3110 Ph: (510) 400-9567 |
| NPI Number | 1205459716 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 02/07/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205459716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
Masonic Homes Of California Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34400 Mission Blvd, Union City, CA 94587 Phone: 510-471-3434 Fax: 510-476-6329 | |
Calli Therapies, Licensed Clinical Social Worker, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33522 8th St, Union City, CA 94587 Phone: 510-210-0394 | |