| East Bay Agency For Children | |
|
210 Central Ave Alameda CA 94501-3246 | |
| (510) 268-3770 | |
| Not Available |
| Full Name | East Bay Agency For Children |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 Central Ave, Alameda, California |
| Authorized Official Name and Position | Jeannette Rodriguez (QUALITY IMPROVEMENT & DATA MANAGER) |
| Authorized Official Contact | 5108445368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Agency For Children 2828 Ford St Oakland CA 94601-2114 Ph: (510) 268-3770 | East Bay Agency For Children 210 Central Ave Alameda CA 94501-3246 Ph: (510) 268-3770 |
| NPI Number | 1942787635 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942787635 | NPI | - | NPPES |
| 251S00000X | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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