| Wildhorse | |
|
18015 Bollinger Canyon Road Las Trampas Stables San Ramon CA 94583-1501 | |
| (510) 860-8188 | |
| Not Available |
| Full Name | Wildhorse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18015 Bollinger Canyon Road, San Ramon, California |
| Authorized Official Name and Position | Kari Ann Owen (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5108608188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildhorse 40757 Ondina Pl Fremont CA 94539-3725 Ph: (510) 860-8188 | Wildhorse 18015 Bollinger Canyon Road Las Trampas Stables San Ramon CA 94583-1501 Ph: (510) 860-8188 |
| NPI Number | 1518282763 |
|---|---|
| Provider Enumeration Date | 03/31/2010 |
| Last Update Date | 03/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518282763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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