Organization
ALAMEDA COUNTY
Active
Other names
Eden Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARYN L TRIBBLE PSYD, LCSW (DIRECTOR)
(510) 567-8100
Entity
Organization
Contact information
Practice address
2045 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(800) 878-1313
Mailing address
PO BOX 129, SAN LEANDRO, CA 94577-0929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000112
—
CA
Enumeration date
03/09/2007
Last updated
08/28/2024
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