| Ruth Acty Elementry | |
|
1400 Ada St Berkeley CA 94702-1217 | |
| (510) 559-3009 | |
| (510) 559-3069 |
| Full Name | Ruth Acty Elementry |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1400 Ada St, Berkeley, California |
| Authorized Official Name and Position | Donald Bruce Blasky (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 4157552311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth Acty Elementry 171 Carlos Dr San Rafael CA 94903-2005 Ph: (510) 559-3009 | Ruth Acty Elementry 1400 Ada St Berkeley CA 94702-1217 Ph: (510) 559-3009 |
| NPI Number | 1447553110 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447553110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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