Organization
KIDS OVERCOMING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SWINNEY (CO-FOUNDER, CFO)
(415) 748-8052
Entity
Organization
Contact information
Practice address
1027 PARK LANE, OAKLAND, CA 94610
(415) 748-8052
Mailing address
1027 PARK LANE, OAKLAND, CA 94610
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
103K00000X
CA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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