| Tri-city Community Support Center | |
|
39155 Liberty St Fremont CA 94538-1513 | |
| (800) 878-1313 | |
| Not Available |
| Full Name | Tri-city Community Support Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 39155 Liberty St, Fremont, California |
| Authorized Official Name and Position | Karyn L Tribble (DIRECTOR) |
| Authorized Official Contact | 5105678100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Community Support Center Po Box 129 San Leandro CA 94577-0929 Ph: () - | Tri-city Community Support Center 39155 Liberty St Fremont CA 94538-1513 Ph: (800) 878-1313 |
| NPI Number | 1043342728 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043342728 | NPI | - | NPPES |
| 000000122 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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