| Leadership Public Schools Richmond | |
|
251 S 12th St Richmond CA 94804-2411 | |
| (510) 235-4522 | |
| Not Available |
| Full Name | Leadership Public Schools Richmond |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 251 S 12th St, Richmond, California |
| Authorized Official Name and Position | Katherine West (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5105200935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leadership Public Schools Richmond 2775 Arlington Dr. San Leandro CA 94578-1132 Ph: (510) 317-1444 | Leadership Public Schools Richmond 251 S 12th St Richmond CA 94804-2411 Ph: (510) 235-4522 |
| NPI Number | 1629315437 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629315437 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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