Pacific Center For Human Growth | |
2130 Center St Ste 200 Berkeley CA 94704-1386 | |
(510) 548-8283 | |
Not Available |
Full Name | Pacific Center For Human Growth |
---|---|
Speciality | Community/behavioral Health |
Location | 2130 Center St Ste 200, Berkeley, California |
Authorized Official Name and Position | Lasara Firefox Allen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5105488283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pacific Center For Human Growth 2130 Center St Ste 200 Berkeley CA 94704-1386 Ph: (510) 548-8283 | Pacific Center For Human Growth 2130 Center St Ste 200 Berkeley CA 94704-1386 Ph: (510) 548-8283 |
NPI Number | 1275687717 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 07/27/2023 |
Certification Date | 07/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275687717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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