| East Bay Agency For Children | |
|
620 Drew St Hesperian San Lorenzo CA 94580-1046 | |
| (510) 268-3770 | |
| Not Available |
| Full Name | East Bay Agency For Children |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 620 Drew St, San Lorenzo, California |
| Authorized Official Name and Position | Marilyn Davis (CQI ADMINISTRATIVE COORDINATOR) |
| Authorized Official Contact | 5105065332 |
| 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) 844-5368 | East Bay Agency For Children 620 Drew St Hesperian San Lorenzo CA 94580-1046 Ph: (510) 268-3770 |
| NPI Number | 1265866248 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265866248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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