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Organization
TERRA FIRMA DIVERSION/EDUCATIONAL SERVICES
Active
Organization
TERRA FIRMA DIVERSION/EDUCATIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERTHA RIOJAS CUELLAR (EXECUTIVE OFFICER)
(510) 675-9362
Entity
Organization
Contact information
Practice address
30086 MISSION BLVD, HAYWARD, CA 94544-7233
(510) 675-9362
(510) 675-9468
Mailing address
30086 MISSION BLVD, HAYWARD, CA 94544-7233
(510) 675-9362
(510) 675-9468
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
010079AP
CA
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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