Organization
AMADOR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATSY LEE PHILLIPS LMFT (DIRECTOR)
(925) 778-3800
Entity
Organization
Contact information
Practice address
3701 LONE TREE WAY STE 7AND4A, ANTIOCH, CA 94509-6038
(925) 778-3800
(925) 778-3915
Mailing address
3701 LONE TREE WAY, STE. 7 AND 4A, ANTIOCH, CA 94509
(925) 778-3800
(925) 778-3915
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC22411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000007GW
—
CA
Enumeration date
02/06/2007
Last updated
07/21/2022
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