| Davis Street Community Center | |
|
3081 Teagarden St San Leandro CA 94577-5720 | |
| (510) 347-4620 | |
| Not Available |
| Full Name | Davis Street Community Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3081 Teagarden St, San Leandro, California |
| Authorized Official Name and Position | Xenia Alexis Burgara (BEHAVIORAL HEALTH INTAKE COORDINATE) |
| Authorized Official Contact | 5103474620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Street Community Center 3081 Teagarden St San Leandro CA 94577-5720 Ph: (510) 347-4620 | Davis Street Community Center 3081 Teagarden St San Leandro CA 94577-5720 Ph: (510) 347-4620 |
| NPI Number | 1407220288 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407220288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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