| Children's Specialized Services | |
|
554 Jackson Ave Livermore CA 94550-3434 | |
| (925) 606-4717 | |
| Not Available |
| Full Name | Children's Specialized Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 554 Jackson Ave, Livermore, California |
| Authorized Official Name and Position | Marye E Thomas (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 Po Box 129 San Leandro CA 94577-0929 Ph: () - | Children's Specialized Services 554 Jackson Ave Livermore CA 94550-3434 Ph: (925) 606-4717 |
| NPI Number | 1427345206 |
|---|---|
| Provider Enumeration Date | 06/30/2011 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427345206 | NPI | - | NPPES |
| 000008109 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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