| Csd Expansion, Llc | |
|
1200 Concord Ave Ste 100 Concord CA 94520-4969 | |
| (877) 910-6538 | |
| (510) 373-1738 |
| Full Name | Csd Expansion, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 Concord Ave Ste 100, Concord, California |
| Authorized Official Name and Position | Kelly Bozarth (CEO) |
| Authorized Official Contact | 5102688120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csd Expansion, Llc 1200 Concord Ave Ste 100 Concord CA 94520-4969 Ph: (510) 268-8120 | Csd Expansion, Llc 1200 Concord Ave Ste 100 Concord CA 94520-4969 Ph: (877) 910-6538 |
| NPI Number | 1235915638 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235915638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
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