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1131 Stoneman Ave Pittsburg CA 94565-5466 | |
| (925) 473-4480 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1131 Stoneman Ave, Pittsburg, California |
| Authorized Official Name and Position | David Bergesen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9259431794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3478 Buskirk Ave Ste 260 Pleasant Hill CA 94523-4358 Ph: (925) 943-1794 | 1131 Stoneman Ave Pittsburg CA 94565-5466 Ph: (925) 473-4480 |
| NPI Number | 1265947923 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265947923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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