Organization
EARLY CHILDHOOD MENTAL HEALTH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SLOAN M.D., MBA (EXECUTIVE DIRECTOR)
(510) 412-9200
Entity
Organization
Contact information
Practice address
200 24TH ST, RICHMOND, CA 94804-1804
(510) 412-9200
(510) 412-9248
Mailing address
200 24TH ST, RICHMOND, CA 94804-1804
(510) 412-9200
(510) 412-9248
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0759
MEDICAL IDENTIFIER
CA
Enumeration date
01/17/2007
Last updated
04/15/2024
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