| Bhrs Impact Program | |
|
1682 Novato Blvd Ste 105 Novato CA 94947-7021 | |
| (415) 473-2721 | |
| Not Available |
| Full Name | Bhrs Impact Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1682 Novato Blvd Ste 105, Novato, California |
| Authorized Official Name and Position | Rosanna Lallana (COMPLIANCE/PRIVACY OFFICER) |
| Authorized Official Contact | 4154732087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhrs Impact Program 20 N San Pedro Rd Ste 2021 San Rafael CA 94903-4158 Ph: () - | Bhrs Impact Program 1682 Novato Blvd Ste 105 Novato CA 94947-7021 Ph: (415) 473-2721 |
| NPI Number | 1841787009 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841787009 | NPI | - | NPPES |
| 2177 | Medicaid | CA |
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