Tri-cities | |
765 Macarthur Blvd Apt H Oakland CA 94610-3758 | |
(510) 893-5817 | |
Not Available |
Full Name | Tri-cities |
---|---|
Speciality | Counselor |
Location | 765 Macarthur Blvd Apt H, Oakland, California |
Authorized Official Name and Position | Robert R. Mason (REGISTERED ADDICTION SPECIALIST) |
Authorized Official Contact | 5103747011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tri-cities 765 Macarthur Blvd Apt H Oakland CA 94610-3758 Ph: () - | Tri-cities 765 Macarthur Blvd Apt H Oakland CA 94610-3758 Ph: (510) 893-5817 |
NPI Number | 1164636254 |
---|---|
Provider Enumeration Date | 05/09/2007 |
Last Update Date | 07/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164636254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | M0501041642 (California) | Primary |
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