Organization
CASA ALLEGRA COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BONFIGLIO (EXECUTIVE DIRECTOR)
(415) 499-1116
Entity
Organization
Contact information
Practice address
306 ADRIAN WAY, SAN RAFAEL, CA 94903-3004
(415) 479-1858
Mailing address
4340 REDWOOD HWY STE 121, SAN RAFAEL, CA 94903-2131
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
LTC60091F
CA
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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