| Subacute Treatment For Adolescent Rehabilitation Services, Inc. | |
|
400 Estudillo Ave San Leandro CA 94577-4999 | |
| (510) 352-9200 | |
| Not Available |
| Full Name | Subacute Treatment For Adolescent Rehabilitation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 Estudillo Ave, San Leandro, California |
| Authorized Official Name and Position | Kent Dunlap (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 3102216336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Subacute Treatment For Adolescent Rehabilitation Services, Inc. 400 Estudillo Ave Ste 100 San Leandro CA 94577-4962 Ph: (510) 352-9200 | Subacute Treatment For Adolescent Rehabilitation Services, Inc. 400 Estudillo Ave San Leandro CA 94577-4999 Ph: (510) 352-9200 |
| NPI Number | 1184748915 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184748915 | NPI | - | NPPES |
| 2006-40002112 | Other | CA | CITY OF RICHMOND BIZ LIC |
| 07DF | Other | CA | CONTRA COSTA PROVIDER # |
| 97392 | Other | CA | CONTRA COSTA CNTY RPT # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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