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1750 Harbor St Pittsburg CA 94565-4615 | |
| (925) 473-2390 | |
| (925) 473-4183 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1750 Harbor St, Pittsburg, 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 |
|---|---|
150 Linden St Oakland CA 94607-2538 Ph: (510) 273-4700 | 1750 Harbor St Pittsburg CA 94565-4615 Ph: (925) 473-2390 |
| NPI Number | 1396251773 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396251773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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