| The Phillips Academy | |
|
1910 Central Ave Alameda CA 94501-2623 | |
| (510) 769-7100 | |
| (510) 769-1824 |
| Full Name | The Phillips Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1910 Central Ave, Alameda, California |
| Authorized Official Name and Position | Esther Cohen (INTERIM EXECUTIVE/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5108643510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Phillips Academy 1910 Central Ave Alameda CA 94501-2623 Ph: (510) 769-7100 | The Phillips Academy 1910 Central Ave Alameda CA 94501-2623 Ph: (510) 769-7100 |
| NPI Number | 1154527273 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154527273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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