Organization
COUNTY OF ALAMEDA
Active
Other names
CHILDREN'S SPECIALIZED SERVICES - LORIN EDEN ELEM SCH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL JIMENEZ MA, MFT (DIRECTOR)
(510) 567-8100
Entity
Organization
Contact information
Practice address
27790 PORTSMOUTH AVE, HAYWARD, CA 94545-4013
(510) 723-3855
Mailing address
PO BOX 129, SAN LEANDRO, CA 94577-0929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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