| Pathways - Concordia Ave | |
|
433 Callan Ave Ste 101 San Leandro CA 94577 | |
| (510) 355-7551 | |
| (510) 318-5396 |
| Full Name | Pathways - Concordia Ave |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 433 Callan Ave Ste 101, San Leandro, California |
| Authorized Official Name and Position | Julayne Virgil (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5103575515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways - Concordia Ave 510 16th St Oakland CA 94612-1520 Ph: (510) 357-5515 | Pathways - Concordia Ave 433 Callan Ave Ste 101 San Leandro CA 94577 Ph: (510) 355-7551 |
| NPI Number | 1679885768 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679885768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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