| Central Facility | |
|
1915 D St Antioch CA 94509-2571 | |
| (925) 754-3673 | |
| Not Available |
| Full Name | Central Facility |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1915 D St, Antioch, California |
| Authorized Official Name and Position | Mary A. Williams (OPERATIONS MANAGER) |
| Authorized Official Contact | 9257543673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Facility 1915 D St Antioch CA 94509-2571 Ph: (925) 754-3673 | Central Facility 1915 D St Antioch CA 94509-2571 Ph: (925) 754-3673 |
| NPI Number | 1417163494 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417163494 | NPI | - | NPPES |
| 0753 | Other | CA | DRUG MEDICAL BILLING NO |
| 070753 | Other | CA | MASTER PROVIDER NUMBER |
| 07534 | Other | CA | DMC ADULT ANTIOCH |
| 07536 | Other | CA | DMC ADOL ANTIOCH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 070024AN (California) | Primary |
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