| Cragmont Elementary School | |
|
830 Regal Rd Berkeley CA 94708-1308 | |
| (510) 559-3009 | |
| (510) 559-3069 |
| Full Name | Cragmont Elementary School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 830 Regal Rd, Berkeley, California |
| Authorized Official Name and Position | Stephanie Hochman (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5105593012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cragmont Elementary School 171 Carlos Dr San Rafael CA 94903-2005 Ph: (510) 559-3009 | Cragmont Elementary School 830 Regal Rd Berkeley CA 94708-1308 Ph: (510) 559-3009 |
| NPI Number | 1679876346 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679876346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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