Organization
CALIFORNIA IMPACT COALITION FOUNDATION
Active
Organization
CALIFORNIA IMPACT COALITION FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANDAVE SANDHU (BOARD MEMBER)
(510) 410-4371
Entity
Organization
Contact information
Practice address
2460 INCLINE CT, ANTIOCH, CA 94531-8265
(925) 433-2791
(925) 433-2758
Mailing address
3021 CITRUS CIR STE 110, WALNUT CREEK, CA 94598-2643
(925) 433-2791
(925) 433-2758
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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