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13201 San Pablo Ave Suite # 303 San Pablo CA 94806-3952 | |
(510) 231-2300 | |
(510) 237-6468 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 13201 San Pablo Ave, San Pablo, California |
Authorized Official Name and Position | Michael J Thomas (CEO) |
Authorized Official Contact | 5102220292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2853 Groom Dr Richmond CA 94806-2664 Ph: (510) 223-4393 | 13201 San Pablo Ave Suite # 303 San Pablo CA 94806-3952 Ph: (510) 231-2300 |
NPI Number | 1275623803 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 11/18/2009 |
Identifier | Type | State | Issuer |
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1275623803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 140000663 (California) | Primary |
Tri-cities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2523 El Portal Dr Ste 206, San Pablo, CA 94806 Phone: 510-374-7017 | |
Rectory Womens Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Church Ln, San Pablo, CA 94806 Phone: 510-236-3139 Fax: 510-236-3200 | |