|
| |
|
15200 Foothill Blvd San Leandro CA 94578-1013 | |
| (209) 525-7423 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15200 Foothill Blvd, San Leandro, California |
| Authorized Official Name and Position | Denise C Hunt (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2095256225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
800 Scenic Dr Modesto CA 95350-6131 Ph: (209) 525-7423 | 15200 Foothill Blvd San Leandro CA 94578-1013 Ph: (209) 525-7423 |
| NPI Number | 1104958198 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104958198 | NPI | - | NPPES |
| 5089 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
East Bay Agency For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1444 Williams St., John Muir Mdl Sch Rm A-7, San Leandro, CA 94577 Phone: 510-268-3770 | |
Eden Adult Community Support Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 Fairmont Dr, San Leandro, CA 94578 Phone: 510-667-7500 | |
Rooted Growth Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16328 Blanco St, San Leandro, CA 94578 Phone: 510-324-6332 | |
Journey Of Life Psychological, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13847 E 14th St Ste 202, San Leandro, CA 94578 Phone: 510-564-5955 Fax: 510-817-4112 |