Organization
COUNTY OF ALAMEDA
Active
Other names
Children's Specialized Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYE E THOMAS M.D. (DIRECTOR)
(510) 567-8100
Entity
Organization
Contact information
Practice address
554 JACKSON AVE, LIVERMORE, CA 94550-3434
(925) 606-4717
Mailing address
PO BOX 129, SAN LEANDRO, CA 94577-0929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008109
—
CA
Enumeration date
06/30/2011
Last updated
06/30/2011
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