Cragmont | |
830 Regal Rd Rm 207 Berkeley CA 94708-1308 | |
(510) 317-1444 | |
Not Available |
Full Name | Cragmont |
---|---|
Speciality | Community/behavioral Health |
Location | 830 Regal Rd Rm 207, Berkeley, California |
Authorized Official Name and Position | Katherine West (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 5105200935 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cragmont 2275 Arlington Dr San Leandro CA 94578-1132 Ph: (415) 407-4558 | Cragmont 830 Regal Rd Rm 207 Berkeley CA 94708-1308 Ph: (510) 317-1444 |
NPI Number | 1851681035 |
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Provider Enumeration Date | 04/09/2011 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851681035 | NPI | - | NPPES |
0015 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
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