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2465 Dolan Way San Pablo CA 94806-1668 | |
(510) 317-1444 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 2465 Dolan Way, San Pablo, California |
Authorized Official Name and Position | Katherine West (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5103171444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 317-1444 | 2465 Dolan Way San Pablo CA 94806-1668 Ph: (510) 317-1444 |
NPI Number | 1548480775 |
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Provider Enumeration Date | 04/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548480775 | NPI | - | NPPES |
0015 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
Tri-cities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2523 El Portal Dr Ste 206, San Pablo, CA 94806 Phone: 510-374-7017 | |
Rectory Womens Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Church Ln, San Pablo, CA 94806 Phone: 510-236-3139 Fax: 510-236-3200 | |