| Kennedy High School | |
|
4300 Cutting Blvd Richmond CA 94804-3343 | |
| (510) 317-1444 | |
| Not Available |
| Full Name | Kennedy High School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4300 Cutting Blvd, Richmond, California |
| Authorized Official Name and Position | Katherine West (EXECUTIVE OFFICER) |
| Authorized Official Contact | 5103171444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy High School 2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 317-1444 | Kennedy High School 4300 Cutting Blvd Richmond CA 94804-3343 Ph: (510) 317-1444 |
| NPI Number | 1619204302 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619204302 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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