| Uprising Academy | |
|
301 Farragut Ave Vallejo CA 94590-4309 | |
| (510) 909-9898 | |
| Not Available |
| Full Name | Uprising Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 Farragut Ave, Vallejo, California |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uprising Academy 2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 317-1144 | Uprising Academy 301 Farragut Ave Vallejo CA 94590-4309 Ph: (510) 909-9898 |
| NPI Number | 1962532143 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962532143 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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