| Portia Bell Hume Behavioral Health And Training Center | |
|
3701 Lone Tree Way Ste 6&7 Antioch CA 94509-6038 | |
| (925) 432-4118 | |
| (925) 432-6799 |
| Full Name | Portia Bell Hume Behavioral Health And Training Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3701 Lone Tree Way Ste 6&7, Antioch, California |
| Authorized Official Name and Position | Joty Sikand (PRESIDENT) |
| Authorized Official Contact | 9258251793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portia Bell Hume Behavioral Health And Training Center 1333 Willow Pass Rd Suite 102 Concord CA 94520-7930 Ph: (925) 825-1793 | Portia Bell Hume Behavioral Health And Training Center 3701 Lone Tree Way Ste 6&7 Antioch CA 94509-6038 Ph: (925) 432-4118 |
| NPI Number | 1134313547 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134313547 | NPI | - | NPPES |
| ZZZ21557Z | Medicaid | CA | |
| PSY029840 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 140000460 (California) | Primary |
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