| Hope Cc Dallas Ranch Middle | |
|
1401 Mount Hamilton Dr Antioch CA 94531-8518 | |
| (510) 273-4700 | |
| Not Available |
| Full Name | Hope Cc Dallas Ranch Middle |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 Mount Hamilton 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 |
|---|---|
| Hope Cc Dallas Ranch Middle 150 Linden St Oakland CA 94607-2538 Ph: (510) 273-4700 | Hope Cc Dallas Ranch Middle 1401 Mount Hamilton Dr Antioch CA 94531-8518 Ph: (510) 273-4700 |
| NPI Number | 1992440820 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992440820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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