Organization
WORK SMARTER-NOT HARDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE LAMONTE BURGESS (NETWORK DIRECTOR)
(314) 745-3541
Entity
Organization
Contact information
Practice address
2415 CASCADE DR, WALNUT CREEK, CA 94598-4314
(314) 745-3541
Mailing address
2415 CASCADE DR, WALNUT CREEK, CA 94598-4314
(314) 745-3541
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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