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Organization

EDEN ADULT COMMUNITY SUPPORT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA DANBY (CLINIC SUPERVISOR)
(510) 667-7518
Entity
Organization

Contact information

Practice address
2045 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(510) 667-7500
Mailing address
2045 FAIRMONT DR, SAN LEANDRO, CA 94578-1088

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
831171
CA

Other

Enumeration date
08/15/2013
Last updated
08/15/2013
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