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Organization
PACIFIC CENTER FOR HUMAN GROWTH
Active
Organization
PACIFIC CENTER FOR HUMAN GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASARA FIREFOX ALLEN (EXECUTIVE DIRECTOR)
(510) 548-8283
Entity
Organization
Contact information
Practice address
2130 CENTER ST STE 200, BERKELEY, CA 94704-1386
(510) 548-8283
Mailing address
2130 CENTER ST STE 200, BERKELEY, CA 94704-1386
(510) 548-8283
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
07/27/2023
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