| Mental Health - Rodeo Hills Es | |
|
545 Garretson Ave Rodeo CA 94572-1418 | |
| (510) 799-4431 | |
| (510) 799-5230 |
| Full Name | Mental Health - Rodeo Hills Es |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 545 Garretson Ave, Rodeo, 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 |
|---|---|
| Mental Health - Rodeo Hills Es 11175 San Pablo Ave El Cerrito CA 94530-2157 Ph: (510) 559-3009 | Mental Health - Rodeo Hills Es 545 Garretson Ave Rodeo CA 94572-1418 Ph: (510) 799-4431 |
| NPI Number | 1457814030 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457814030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Golden State Behavior Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Parker Ave, Rodeo, CA 94572 Phone: 510-501-2385 | |
Contra Costa-head Start Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 California Street, Room #4, Rodeo, CA 94572 Phone: 925-957-5429 |