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1521 University Ave Berkeley CA 94703-1422 | |
(510) 981-5280 | |
(510) 981-5255 |
Full Name | |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1521 University Ave, Berkeley, California |
Authorized Official Name and Position | Steve Grolnic-mcclurg (MANAGER OF MENTAL HEALTH) |
Authorized Official Contact | 5109815280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2180 Milvia St. 2nd Floor Berkeley CA 94704-1122 Ph: (510) 981-5270 | 1521 University Ave Berkeley CA 94703-1422 Ph: (510) 981-5280 |
NPI Number | 1750415113 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 10/07/2021 |
Certification Date | 10/07/2021 |
Identifier | Type | State | Issuer |
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1750415113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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