| Pusd-black Diamond High School | |
|
1131 Stoneman Ave Pittsburg CA 94565-5466 | |
| (925) 473-2510 | |
| Not Available |
| Full Name | Pusd-black Diamond High School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1131 Stoneman Ave, Pittsburg, California |
| Authorized Official Name and Position | Stephanie Hochman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5105593012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pusd-black Diamond High School 11175 San Pablo Ave El Cerrito CA 94530-2157 Ph: (510) 559-3009 | Pusd-black Diamond High School 1131 Stoneman Ave Pittsburg CA 94565-5466 Ph: (925) 473-2510 |
| NPI Number | 1346865870 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346865870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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