Organization
CITY OF FREMONT
Active
Other names
Robertson High School
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE BAILEY MS, MPA, LMFT (ADMINISTRATOR)
(510) 574-2100
Entity
Organization
Contact information
Practice address
4455 SENECA PARK AVE, FREMONT, CA 94538-4028
(510) 657-9155
Mailing address
39155 LIBERTY STREET, SUITE E500, FREMONT, CA 94537-5006
(510) 574-2100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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