| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3221 Nevin Ave, Richmond, California |
| Authorized Official Name and Position | Nzinga Harrison (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9258254700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 Ph: (925) 825-4700 | 3221 Nevin Ave Richmond CA 94804 Ph: (510) 232-7633 |
| NPI Number | 1922138429 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922138429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (California) | Secondary |
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