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631 La Paloma Rd El Sobrante CA 94803-1735 | |
(510) 230-9565 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 631 La Paloma Rd, El Sobrante, California |
Authorized Official Name and Position | Madhulla Selva (PRESIDENT) |
Authorized Official Contact | 5102309565 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2646 Appian Way Pinole CA 94564-2242 Ph: (510) 230-9565 | 631 La Paloma Rd El Sobrante CA 94803-1735 Ph: (510) 230-9565 |
NPI Number | 1356124234 |
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Provider Enumeration Date | 08/15/2023 |
Last Update Date | 05/28/2024 |
Certification Date | 09/01/2023 |
Identifier | Type | State | Issuer |
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1356124234 | NPI | - | NPPES |