| Terra Firma Diversion/educational Services | |
|
30086 Mission Blvd Hayward CA 94544-7233 | |
| (510) 675-9362 | |
| (510) 675-9468 |
| Full Name | Terra Firma Diversion/educational Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30086 Mission Blvd, Hayward, California |
| Authorized Official Name and Position | Bertha Riojas Cuellar (EXECUTIVE OFFICER) |
| Authorized Official Contact | 5106759362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terra Firma Diversion/educational Services 30086 Mission Blvd Hayward CA 94544-7233 Ph: (510) 675-9362 | Terra Firma Diversion/educational Services 30086 Mission Blvd Hayward CA 94544-7233 Ph: (510) 675-9362 |
| NPI Number | 1619345352 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 09/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619345352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 010079AP (California) | Primary |
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