| Pacific Center for Human Growth | |
|
2130 Center St Ste 200 Berkeley CA 94704-1386 | |
| (510) 548-8283 | |
| Not Available |
| Full Name | Pacific Center for Human Growth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2130 Center St Ste 200, Berkeley, California |
| Authorized Official Name and Position | Lasara Firefox Allen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5105488283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Center for Human Growth 2130 Center St Ste 200 Berkeley CA 94704-1386 Ph: (510) 548-8283 | Pacific Center for Human Growth 2130 Center St Ste 200 Berkeley CA 94704-1386 Ph: (510) 548-8283 |
| NPI Number | 1275687717 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275687717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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