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Organization

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Organization subpart
No

Provider details

NPI number
Authorized official
DR. CYNTHIA ANN SCHEINBERG PHD (EXECUTIVE DIRECTOR)
(925) 363-5000
Entity
Organization

Contact information

Practice address
3029 MACDONALD AVE, RICHMOND, CA 94804-3010
(510) 307-4460
Mailing address
3024 WILLOW PASS RD, CONCORD, CA 94519-2588

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
070915EN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070915EN
AOD CERTIFICATION
CA
Enumeration date
05/04/2007
Last updated
08/22/2020
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