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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAM COBBS (CEO)
(510) 272-0979
Entity
Organization

Contact information

Practice address
426 17TH ST, SUITE 100, OAKLAND, CA 94612-2820
(510) 272-0979
Mailing address
2702 CLAYTON RD, SUITE 207, CONCORD, CA 94519-2789

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251500000X
CA

Other

Enumeration date
05/08/2017
Last updated
05/08/2017
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