Healthcare Provider Details

I. General information

NPI: 1811716236
Provider Name (Legal Business Name): AFTER SCHOOL MUSIC FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2024
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 ARLENE DR
WALNUT CREEK CA
94595-1731
US

IV. Provider business mailing address

128 ARLENE DR
WALNUT CREEK CA
94595-1731
US

V. Phone/Fax

Practice location:
  • Phone: 808-722-2867
  • Fax:
Mailing address:
  • Phone: 808-722-2867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID CHIORINI
Title or Position: CEO
Credential:
Phone: 808-722-2867