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Organization
ELDA
Active
Organization
ELDA
Active
Other names
ELDA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONTA LARON DAVENPORT LAADAC (CEO)
(510) 759-1320
Entity
Organization
Contact information
Practice address
2334 BUCHANAN RD STE 2356, ANTIOCH, CA 94509-4411
(925) 436-8766
Mailing address
4400 GLEN CANYON CIR, PITTSBURG, CA 94565-6458
(510) 759-1320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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