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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