City Of Fremont Youth And Family Services

NPI 1104261486 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1104261486
Enumeration Date 05/01/2013
Last Updated 05/01/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LAURIE LAURIE
Position CLINICAL SUPERVISOR
Phone (510) 574-2114
Fax
Practice Location
2000 STEVENSON BLVD
FREMONT CA, 94538-2336, US
Phone (510) 574-2114
Fax
Business Location
39155 LIBERTY ST STE E500
FREMONT CA, 94538-1516, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number MFC44011
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According to our database, City Of Fremont Youth And Family Services NPI is 1104261486, taxonomy code is 251S00000X and license number is MFC44011, license state is located at California. City Of Fremont Youth And Family Services physically located at 2000 Stevenson Blvd, Fremont CA, 94538-2336. NPI Number 1033115704 has the healthcare provider type.

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1104261486 NPI number is provided on an as is basis without warranty of any kind. 1104261486 is maintained by the National Plan & Provider Enumeration System. The contents of City Of Fremont Youth And Family Services are for informational purposes only.