Organization
SOCIAL Q
Active
Organization
SOCIAL Q
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL DIAL (AUTISM SPECIALIST)
(510) 541-6307
Entity
Organization
Contact information
Practice address
438 W GRAND AVE APT 608, UNIT 608, OAKLAND, CA 94612-2335
(510) 541-6307
Mailing address
248 3RD STREET, SUITE 723, OAKLAND, CA 94612-2335
(510) 541-6307
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
CA
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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