| Hope Cc Carmen Dragon Elementary | |
|
4721 Vista Grande Dr Antioch CA 94531-8619 | |
| (925) 779-7475 | |
| (925) 779-7476 |
| Full Name | Hope Cc Carmen Dragon Elementary |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4721 Vista Grande Dr, Antioch, California |
| Authorized Official Name and Position | Allison Staulcup Becwar (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5102734700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Cc Carmen Dragon Elementary 150 Linden St Oakland CA 94607-2538 Ph: (510) 273-4700 | Hope Cc Carmen Dragon Elementary 4721 Vista Grande Dr Antioch CA 94531-8619 Ph: (925) 779-7475 |
| NPI Number | 1700367166 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700367166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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