| |
1410 Danzig Plz Suite 102 Concord CA 94520-7979 | |
(925) 399-8749 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1410 Danzig Plz, Concord, California |
Authorized Official Name and Position | Jane Fischberg (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5102313987 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2500 Bissell Ave Richmond CA 94804-1815 Ph: (510) 235-1516 | 1410 Danzig Plz Suite 102 Concord CA 94520-7979 Ph: (925) 399-8749 |
NPI Number | 1649544552 |
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Provider Enumeration Date | 02/24/2012 |
Last Update Date | 04/02/2012 |
Identifier | Type | State | Issuer |
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1649544552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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