Organization
LICENSED CLINICAL SOCIAL WORKER COMMUNITY ALLIANCE PC
Active
Organization
LICENSED CLINICAL SOCIAL WORKER COMMUNITY ALLIANCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MITCHELL SNIDER LCSW (CEO)
(916) 521-9447
Entity
Organization
Contact information
Practice address
301 S 23RD ST, RICHMOND, CA 94804-2807
(510) 833-7632
Mailing address
PO BOX 3277, SAN LEANDRO, CA 94578-0277
(916) 521-9447
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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