Mental Health- John Swett Hs | |
1098 Pomona St Crockett CA 94525-1426 | |
(510) 787-1088 | |
(510) 787-1930 |
Full Name | Mental Health- John Swett Hs |
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Speciality | Community/behavioral Health |
Location | 1098 Pomona St, Crockett, California |
Authorized Official Name and Position | Donald Bruce Blasky (CHIEF PROGRAM OFFICER) |
Authorized Official Contact | 4157552311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mental Health- John Swett Hs 11175 San Pablo Ave El Cerrito CA 94530-2157 Ph: (510) 787-1088 | Mental Health- John Swett Hs 1098 Pomona St Crockett CA 94525-1426 Ph: (510) 787-1088 |
NPI Number | 1932662442 |
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Provider Enumeration Date | 04/11/2019 |
Last Update Date | 08/02/2021 |
Certification Date | 08/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932662442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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