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Organization

NY LEARNING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YASMIN LOZANO (EXECUTIVE DIRECTOR / OWNER)
(510) 236-2146
Entity
Organization

Contact information

Practice address
4908 KIRK LANE, SAN PABLO, CA 94806
(510) 236-2146
(510) 236-1249
Mailing address
4908 KIRK LANE, SAN PABLO, CA 94806
(510) 236-2146
(510) 236-1249

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
073405681
CA

Other

Enumeration date
06/05/2015
Last updated
06/05/2015
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