Healthcare Provider Details
I. General information
NPI: 1851586572
Provider Name (Legal Business Name): SENECA CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2007
Last Update Date: 09/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1320 ARNOLD DR SUITE 160
MARTINEZ CA
94553-6537
US
IV. Provider business mailing address
2275 ARLINGTON DR
SAN LEANDRO CA
94578-1132
US
V. Phone/Fax
- Phone: 925-229-5400
- Fax:
- Phone: 510-317-1444
- 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 | CA |
VIII. Authorized Official
Name:
KATHERINE
WEST
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-317-1444