| Reach Ashland Youth Center | |
|
16335 E 14th Street Room 109 & 117 San Leandro CA 94578-3109 | |
| (510) 667-3276 | |
| Not Available |
| Full Name | Reach Ashland Youth Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16335 E 14th Street, San Leandro, California |
| Authorized Official Name and Position | Karyn L Tribble (DIRECTOR) |
| Authorized Official Contact | 5105678100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach Ashland Youth Center Po Box 129 San Leandro CA 94577-0929 Ph: () - | Reach Ashland Youth Center 16335 E 14th Street Room 109 & 117 San Leandro CA 94578-3109 Ph: (510) 667-3276 |
| NPI Number | 1396178794 |
|---|---|
| Provider Enumeration Date | 08/21/2013 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396178794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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