Organization
LA CLINICA DE LA RAZA
Active
Organization
LA CLINICA DE LA RAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY FACHER LCSW (MANAGER OF INTEGRATED BEHAV. HEALTH)
(510) 535-2958
Entity
Organization
Contact information
Practice address
220 HOSPITAL DR, VALLEJO, CA 94589-2517
(510) 535-2958
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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