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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