| Four Bridges Creative Living Center | |
|
1912 Central Ave Alameda CA 94501 | |
| (510) 750-8810 | |
| Not Available |
| Full Name | Four Bridges Creative Living Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1912 Central Ave, Alameda, California |
| Authorized Official Name and Position | Michael Stanton Ward (SENIOR DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 5102197451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Bridges Creative Living Center 390 40th St Oakland CA 94609-2633 Ph: (510) 613-0330 | Four Bridges Creative Living Center 1912 Central Ave Alameda CA 94501 Ph: (510) 750-8810 |
| NPI Number | 1104036375 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104036375 | NPI | - | NPPES |
| 81291 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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