Tri-cities | |
2523 El Portal Dr Ste 206 San Pablo CA 94806-3305 | |
(510) 374-7017 | |
Not Available |
Full Name | Tri-cities |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2523 El Portal Dr Ste 206, San Pablo, California |
Authorized Official Name and Position | Sheree Howe (REGISTERED ADDICTION SPECIALIST) |
Authorized Official Contact | 5103747017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tri-cities 828 38th St Richmond CA 94805-1321 Ph: (510) 374-7017 | Tri-cities 2523 El Portal Dr Ste 206 San Pablo CA 94806-3305 Ph: (510) 374-7017 |
NPI Number | 1114132982 |
---|---|
Provider Enumeration Date | 05/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114132982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | H0501041746 (California) | Primary |
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 | |