| West County Childrens Mental Health Services | |
|
13585 San Pablo Avenue 1st Floor San Pablo CA 94806 | |
| (510) 942-4600 | |
| Not Available |
| Full Name | West County Childrens Mental Health Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 13585 San Pablo Avenue, San Pablo, California |
| Authorized Official Name and Position | Patrick M. Godley (COO CFO) |
| Authorized Official Contact | 9259575405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West County Childrens Mental Health Services 50 Douglas Dr Suite 391 Martinez CA 94553-4098 Ph: () - | West County Childrens Mental Health Services 13585 San Pablo Avenue 1st Floor San Pablo CA 94806 Ph: (510) 942-4600 |
| NPI Number | 1508936188 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508936188 | NPI | - | NPPES |
| 0768 | Other | CA | MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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