| Children's Specialized Services - Island High Sch | |
|
500 Pacific Ave Rm 24 Alameda CA 94501-2125 | |
| (510) 748-4024 | |
| Not Available |
| Full Name | Children's Specialized Services - Island High Sch |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 Pacific Ave Rm 24, Alameda, California |
| Authorized Official Name and Position | Don Kingdon (INTERIM DIRECTOR) |
| Authorized Official Contact | 5105678100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Specialized Services - Island High Sch Po Box 129 San Leandro CA 94577-0929 Ph: () - | Children's Specialized Services - Island High Sch 500 Pacific Ave Rm 24 Alameda CA 94501-2125 Ph: (510) 748-4024 |
| NPI Number | 1861918153 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 08/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861918153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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