| Licensed Clinical Social Worker Community Alliance Pc | |
|
301 S 23rd St Richmond CA 94804-2807 | |
| (510) 833-7632 | |
| Not Available |
| Full Name | Licensed Clinical Social Worker Community Alliance Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 S 23rd St, Richmond, California |
| Authorized Official Name and Position | Gary Mitchell Snider (CEO) |
| Authorized Official Contact | 9165219447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licensed Clinical Social Worker Community Alliance Pc Po Box 3277 San Leandro CA 94578-0277 Ph: (916) 521-9447 | Licensed Clinical Social Worker Community Alliance Pc 301 S 23rd St Richmond CA 94804-2807 Ph: (510) 833-7632 |
| NPI Number | 1588264113 |
|---|---|
| Provider Enumeration Date | 11/01/2020 |
| Last Update Date | 11/01/2020 |
| Certification Date | 11/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588264113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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