Organization
TRIAD FAMILY SERVICES
Active
Organization
TRIAD FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MESSINA LCSW (CLINICAL SUPERVISOR)
(916) 631-0771
Entity
Organization
Contact information
Practice address
14433 CATALINA ST, SAN LEANDRO, CA 94577-5515
(510) 351-3665
(510) 351-3906
Mailing address
14433 CATALINA ST, SAN LEANDRO, CA 94577-5515
(510) 351-3665
(510) 351-3906
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
015202218
CA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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