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100 Decoto Rd Union City CA 94587-3572 | |
| (510) 471-2461 | |
| (510) 568-8416 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Decoto Rd, Union City, California |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 317-1446 | 100 Decoto Rd Union City CA 94587-3572 Ph: (510) 471-2461 |
| NPI Number | 1194270694 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194270694 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Masonic Homes Of California Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34400 Mission Blvd, Union City, CA 94587 Phone: 510-471-3434 Fax: 510-476-6329 | |
Calli Therapies, Licensed Clinical Social Worker, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33522 8th St, Union City, CA 94587 Phone: 510-210-0394 | |