Casa Phoenix | |
740 Hollyhock Dr San Leandro CA 94578 | |
(510) 670-9880 | |
Not Available |
Full Name | Casa Phoenix |
---|---|
Speciality | Community/behavioral Health |
Location | 740 Hollyhock Dr, San Leandro, California |
Authorized Official Name and Position | Nzinga Harrison (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 9258254700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Casa Phoenix 3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 Ph: (925) 825-4700 | Casa Phoenix 740 Hollyhock Dr San Leandro CA 94578 Ph: (510) 670-9880 |
NPI Number | 1003126251 |
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Provider Enumeration Date | 10/20/2010 |
Last Update Date | 07/03/2018 |
Identifier | Type | State | Issuer |
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1003126251 | NPI | - | NPPES |
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