| Partnerships For Trauma Recovery | |
|
2526 Martin Luther King Jr Way Berkeley CA 94704-2607 | |
| (510) 969-2581 | |
| Not Available |
| Full Name | Partnerships For Trauma Recovery |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2526 Martin Luther King Jr Way, Berkeley, California |
| Authorized Official Name and Position | Gianina Pellegrini (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5107302386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partnerships For Trauma Recovery 2526 Martin Luther King Jr Way Berkeley CA 94704-2607 Ph: (510) 969-2581 | Partnerships For Trauma Recovery 2526 Martin Luther King Jr Way Berkeley CA 94704-2607 Ph: (510) 969-2581 |
| NPI Number | 1316435886 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316435886 | NPI | - | NPPES |
| 1134496052 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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