| Family Service Of The Tri-cities | |
|
39899 Balentine Dr Suite 212 Newark CA 94560-5355 | |
| (510) 791-3322 | |
| (510) 791-3325 |
| Full Name | Family Service Of The Tri-cities |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 39899 Balentine Dr, Newark, California |
| Authorized Official Name and Position | Ingrid J Theriault (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5107913322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of The Tri-cities 39899 Balentine Dr Suite 212 Newark CA 94560-5355 Ph: (510) 791-3322 | Family Service Of The Tri-cities 39899 Balentine Dr Suite 212 Newark CA 94560-5355 Ph: (510) 791-3322 |
| NPI Number | 1912060393 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912060393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (California) | Primary |
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