Organization
CSD EXPANSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY BOZARTH (CEO)
(510) 268-8120
Entity
Organization
Contact information
Practice address
1200 CONCORD AVE STE 100, CONCORD, CA 94520-4969
(877) 910-6538
(510) 373-1738
Mailing address
1200 CONCORD AVE STE 100, CONCORD, CA 94520-4969
(510) 268-8120
(510) 373-1738
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
09/01/2023
Last updated
09/27/2023
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