Organization
CITY OF FREMONT
Active
Other names
Leitch Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE BAILEY M.S., M.P.A., LMFT (ADMINISTRATOR)
(510) 547-2100
Entity
Organization
Contact information
Practice address
47100 FERNALD ST, FREMONT, CA 94539-7005
(510) 657-6100
Mailing address
39155 LIBERTY ST, SUITE E500, FREMONT, CA 94537-5006
(510) 547-2100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
11/17/2017
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