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General NPI Number Information
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NPI Number | 1093345589
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Entity Type | Organization
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Legal Business Name | QUEST PROGRAMS, INC.
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 1089 LEA DR
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3746
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Country | US
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Telephone | 510-467-4250
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Fax | 510-580-9413
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Provider Business Mailing Address
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Address Line | PO BOX 5715
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City | BERKELEY
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State | CA
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Zip | 94705-0715
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Country | US
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Telephone | 510-467-4250
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Fax | 510-580-9413
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LARRY HICKMAN
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Credential |
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Telephone | 510-467-4250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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