Healthcare Provider Details

I. General information

NPI: 1649430968
Provider Name (Legal Business Name): CITY OF FREMONT YOUTH AND FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39155 LIBERTY ST STE E500 & H850
FREMONT CA
94538-1513
US

IV. Provider business mailing address

PO BOX 5006
FREMONT CA
94537-5006
US

V. Phone/Fax

Practice location:
  • Phone: 510-574-2100
  • Fax: 510-574-2105
Mailing address:
  • Phone: 510-574-2100
  • Fax:

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: LAURIE LINSCHEID
Title or Position: CLINICAL SUPERVISOR
Credential: M.S.
Phone: 510-574-2114