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494 Blossom Way Hayward CA 94541-1948 | |
| (510) 582-7676 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 494 Blossom Way, Hayward, California |
| Authorized Official Name and Position | Denise C Hunt (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2095256225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
800 Scenic Dr Modesto CA 95350-6131 Ph: () - | 494 Blossom Way Hayward CA 94541-1948 Ph: (510) 582-7676 |
| NPI Number | 1366575243 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366575243 | NPI | - | NPPES |
| 50AC | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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