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12972 San Pablo Ave Richmond CA 94805-1307 | |
| (510) 439-3130 | |
| (510) 439-3129 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12972 San Pablo Ave, Richmond, California |
| Authorized Official Name and Position | Thomas N Alexander (PRESIDENT AND CEO) |
| Authorized Official Contact | 5104822244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3800 Coolidge Ave Oakland CA 94602-3311 Ph: (510) 482-2244 | 12972 San Pablo Ave Richmond CA 94805-1307 Ph: (510) 439-3130 |
| NPI Number | 1518188580 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518188580 | NPI | - | NPPES |
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