| Bay Area Youth Centers Rafa | |
|
22245 Main St Ste 200 Hayward CA 94541-4028 | |
| (510) 727-9401 | |
| (510) 727-9405 |
| Full Name | Bay Area Youth Centers Rafa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22245 Main St, Hayward, California |
| Authorized Official Name and Position | Joshua Scott Leonard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5107279401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Youth Centers Rafa 22245 Main St Ste 200 Hayward CA 94541-4028 Ph: (510) 727-9401 | Bay Area Youth Centers Rafa 22245 Main St Ste 200 Hayward CA 94541-4028 Ph: (510) 727-9401 |
| NPI Number | 1992841936 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992841936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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