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NPI Code Detail

MEDICARE: SENECA RESIDENTIAL AND DAY TREATMENT CENTER FOR CHILDREN

MEDICARE: SENECA RESIDENTIAL AND DAY TREATMENT CENTER FOR CHILDREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235383571
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENECA RESIDENTIAL AND DAY TREATMENT CENTER FOR CHILDREN
Provider Business Mailing Address
First Line : 2275 ARLINGTON DR
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94578-1132
Country : US
Telephone Number : 510-317-1444
Fax Number :
Provider Business Practice Location Address
First Line : 42875 GATEWOOD ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-4131
Country : US
Telephone Number : 510-656-6438
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KATHERINE WEST
Credential :
Telephone Number : 510-317-1444
Provider Enumeration Date : 11/13/2008
Last Update Date : 09/28/2017

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1295983641 — MRS. SANDHYA GUPTA
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1750529061 — JEANIE CAMERON ROBB
Practice Location Address:
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1699907576 — KATHERINE HANSON
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Directions to “SENECA RESIDENTIAL AND DAY TREATMENT CENTER FOR CHILDREN ” Practice Location

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