| Crespi Middle School-mh | |
|
5000 Patterson Cir Richmond CA 94805-1572 | |
| (510) 223-8611 | |
| (510) 243-2090 |
| Full Name | Crespi Middle School-mh |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5000 Patterson Cir, Richmond, 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 |
|---|---|
| Crespi Middle School-mh 11175 San Pablo Ave El Cerrito CA 94530-2157 Ph: (510) 559-3009 | Crespi Middle School-mh 5000 Patterson Cir Richmond CA 94805-1572 Ph: (510) 223-8611 |
| NPI Number | 1134775026 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134775026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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