| Child Health And Disability Prevention Program | |
|
597 Center Ave Suite 280 Martinez CA 94553-4640 | |
| (925) 957-5429 | |
| Not Available |
| Full Name | Child Health And Disability Prevention Program |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 597 Center Ave, Martinez, 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 |
|---|---|
| Child Health And Disability Prevention Program 50 Douglas Dr Suite 391 Martinez CA 94553-4098 Ph: () - | Child Health And Disability Prevention Program 597 Center Ave Suite 280 Martinez CA 94553-4640 Ph: (925) 957-5429 |
| NPI Number | 1235217423 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235217423 | NPI | - | NPPES |
| ZZZ74187Z | Other | CA | CHDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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