| Vida For Autism, Llc | |
|
2613 Richard Ave Concord CA 94520-4737 | |
| (925) 276-5041 | |
| Not Available |
| Full Name | Vida For Autism, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2613 Richard Ave, Concord, California |
| Authorized Official Name and Position | Edwin Alberto Cruz (OWNER) |
| Authorized Official Contact | 9252765041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida For Autism, Llc 2613 Richard Ave Concord CA 94520-4737 Ph: (925) 276-5041 | Vida For Autism, Llc 2613 Richard Ave Concord CA 94520-4737 Ph: (925) 276-5041 |
| NPI Number | 1568928349 |
|---|---|
| Provider Enumeration Date | 02/16/2019 |
| Last Update Date | 02/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568928349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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