Organization
KUMASICALI
Active
Organization
KUMASICALI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEEN ADU-POKU LCSW (OWNER)
(925) 255-0002
Entity
Organization
Contact information
Practice address
2810 LONE TREE WAY ST 9, ANTIOCH, CA 94509-4956
(925) 255-0002
Mailing address
2810 LONE TREE WAY, ANTIOCH, CA 94509-4956
(925) 255-0002
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
08/19/2026
Last updated
08/19/2026
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