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Organization
TRI-CITIES
Active
Organization
TRI-CITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT R. MASON (REGISTERED ADDICTION SPECIALIST)
(510) 374-7011
Entity
Organization
Contact information
Practice address
765 MACARTHUR BLVD APT H, OAKLAND, CA 94610-3758
(510) 893-5817
Mailing address
765 MACARTHUR BLVD APT H, OAKLAND, CA 94610-3758
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
M0501041642
CA
Other
Enumeration date
05/09/2007
Last updated
07/23/2008
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