Organization
ANN MARTIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSE LEONARD-PAGEL PHD (DIRECTOR OF CLINICAL PROGRAMS)
(510) 655-7880
Entity
Organization
Contact information
Practice address
8755 FONTAINE ST, OAKLAND, CA 94605-4141
(510) 639-3244
(510) 639-3246
Mailing address
1375 55TH ST, EMERYVILLE, CA 94608-2609
(510) 655-7880
(510) 655-3379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
140000152
CA
Other
Enumeration date
05/25/2012
Last updated
07/21/2022
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