Healthcare Provider Details
I. General information
NPI: 1093552804
Provider Name (Legal Business Name): TOGETHER WE STAND
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2024
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
31277 MEADOWBROOK AVE
HAYWARD CA
94544-7549
US
IV. Provider business mailing address
31277 MEADOWBROOK AVE
HAYWARD CA
94544-7549
US
V. Phone/Fax
- Phone: 510-598-9137
- Fax:
- Phone: 510-598-9137
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
GARCIA-PICAZO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 510-598-9137