Organization
CITY OF FREMONT
Active
Other names
Blacow Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE BAILEY M.S., M.P.A., LMFT (ADMINSTRATOR)
(510) 574-2100
Entity
Organization
Contact information
Practice address
40404 SUNDALE DR, FREMONT, CA 94538-3314
(510) 656-5121
Mailing address
39155 LIBERTY STREET, SUITE E500, FREMONT, CA 94537-5006
(510) 574-2100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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