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General NPI Number Information
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NPI Number | 1245093483
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Entity Type | Organization
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Legal Business Name | CATALYST CARES ADULT DAY PROGRAM
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 3905 SAN PABLO DAM RD
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City | EL SOBRANTE
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State | CA
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Zip | 94803-2823
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Country | US
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Telephone | 510-390-5467
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Fax | 510-229-3022
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Provider Business Mailing Address
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Address Line | 3905 SAN PABLO DAM RD
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City | EL SOBRANTE
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State | CA
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Zip | 94803-2823
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Country | US
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Telephone | 510-390-5467
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Fax | 510-229-3022
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Authorized Official
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Title or Position | CEO
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Name | MAVIS FREEMAN
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Credential |
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Telephone | 510-390-5467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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