Organization
CBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTA VIEIRA (BEHAVIORAL ASSISTANT)
(925) 483-4505
Entity
Organization
Contact information
Practice address
11 MT LEE PL, CLAYTON, CA 94517-1538
(925) 483-4505
Mailing address
11 MT LEE PL, CLAYTON, CA 94517-1538
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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