|
| |
|
300 E. Leland Rd. #100 Pittsburg CA 94565-4961 | |
| (925) 439-9628 | |
| (925) 439-9639 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 300 E. Leland Rd., Pittsburg, California |
| Authorized Official Name and Position | John Thomas Bolle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9253701818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1340 Arnold Drive Suite 127 Martinez CA 94553-4189 Ph: (925) 370-1818 | 300 E. Leland Rd. #100 Pittsburg CA 94565-4961 Ph: (925) 439-9628 |
| NPI Number | 1831248392 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 10/12/2023 |
| Certification Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831248392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Contra Costa Arc-lynn Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E Leland Rd, Pittsburg, CA 94565 Phone: 925-439-9628 | |
Lincoln Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Marina Blvd, Pittsburg, CA 94565 Phone: 925-521-1270 Fax: 925-521-1279 | |