Hope Cc Lone Tree Elementary | |
1931 Mokelumne Dr Antioch CA 94531-9129 | |
(925) 779-7480 | |
(925) 779-7481 |
Full Name | Hope Cc Lone Tree Elementary |
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Speciality | Community/behavioral Health |
Location | 1931 Mokelumne 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 |
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Hope Cc Lone Tree Elementary 150 Linden St Oakland CA 94607-2538 Ph: (510) 273-4700 | Hope Cc Lone Tree Elementary 1931 Mokelumne Dr Antioch CA 94531-9129 Ph: (925) 779-7480 |
NPI Number | 1609357904 |
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Provider Enumeration Date | 08/24/2018 |
Last Update Date | 11/05/2024 |
Certification Date | 11/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609357904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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