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Organization
WILDHORSE
Active
Organization
WILDHORSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARI ANN OWEN PH.D. (PROGRAM DIRECTOR)
(510) 860-8188
Entity
Organization
Contact information
Practice address
18015 BOLLINGER CANYON ROAD, LAS TRAMPAS STABLES, SAN RAMON, CA 94583-1501
(510) 860-8188
Mailing address
40757 ONDINA PL, FREMONT, CA 94539-3725
(510) 860-8188
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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