| Free At Last Center | |
|
1796 Bay Rd East Palo Alto CA 94303-1611 | |
| (650) 462-6999 | |
| (650) 462-1055 |
| Full Name | Free At Last Center |
|---|---|
| Speciality | Counselor |
| Location | 1796 Bay Rd, East Palo Alto, California |
| Authorized Official Name and Position | Elizabeth Chewning (PROGRAM ADMINISTRATION) |
| Authorized Official Contact | 6504626995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free At Last Center 1796 Bay Rd East Palo Alto CA 94303-1611 Ph: (650) 462-6999 | Free At Last Center 1796 Bay Rd East Palo Alto CA 94303-1611 Ph: (650) 462-6999 |
| NPI Number | 1063849735 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063849735 | NPI | - | NPPES |
| 410027IN | Other | REHABILITATION SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 410027IN (California) | Primary |
| 251S00000X | Community/behavioral Health | 410027IN (California) | Secondary |
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