Healthcare Provider Details

I. General information

NPI: 1396944310
Provider Name (Legal Business Name): EMBRACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 WILLOW PASS RD STE 1000
CONCORD CA
94520-5283
US

IV. Provider business mailing address

1390 WILLOW PASS RD STE 1000
CONCORD CA
94520-5283
US

V. Phone/Fax

Practice location:
  • Phone: 925-943-1794
  • Fax: 925-943-6091
Mailing address:
  • Phone: 925-943-1794
  • Fax: 925-943-6091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DIANA VICTORIA SALVESTRIN BERGESEN
Title or Position: DIR., ACCOUNTING & ADMINISTRATION
Credential:
Phone: 925-943-1794