Organization
ANN MARTIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSE LEONARD-PAGEL PH.D. (DIRECTOR OF CLINICAL PROGRAMS)
(510) 655-7880
Entity
Organization
Contact information
Practice address
2629 HARRISON ST, OAKLAND, CA 94612-3813
(510) 655-7880
(510) 655-3379
Mailing address
2629 HARRISON ST, OAKLAND, CA 94612-3813
(510) 655-7880
(510) 655-3379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
140000152
CA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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