Child Therapy Institute | |
3720 Sunset Ln Ste D Antioch CA 94509-6124 | |
(415) 456-7724 | |
Not Available |
Full Name | Child Therapy Institute |
---|---|
Speciality | Community/behavioral Health |
Location | 3720 Sunset Ln Ste D, Antioch, California |
Authorized Official Name and Position | Brian Lukas (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4154567724 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Child Therapy Institute 1480 Lincoln Ave Ste 8 San Rafael CA 94901-2085 Ph: () - | Child Therapy Institute 3720 Sunset Ln Ste D Antioch CA 94509-6124 Ph: (415) 456-7724 |
NPI Number | 1689958290 |
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Provider Enumeration Date | 09/30/2011 |
Last Update Date | 06/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689958290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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