Organization
MARU
Active
Organization
MARU
Active
Other names
KCCEB
Organization subpart
No
Provider details
NPI number
Authorized official
PYSAY PHINITH LCSW (PROGRAM DIRECTOR)
(510) 210-5314
Entity
Organization
Contact information
Practice address
101 CALLAN AVE STE 400, SAN LEANDRO, CA 94577-4523
(510) 547-2662
Mailing address
101 CALLAN AVE STE 400, SAN LEANDRO, CA 94577-4523
(510) 547-2662
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
08/20/2026
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