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General NPI Number Information
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NPI Number | 1740512920
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Entity Type | Organization
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Legal Business Name | CONTRA COSTA INTERFAITH TRANSITIONAL HOUSING
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 2387 LISA LN
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3949
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Country | US
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Telephone | 925-677-7267
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Fax | 925-677-7444
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Provider Business Mailing Address
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Address Line | 2387 LISA LN
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3949
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Country | US
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Telephone | 925-677-7267
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Fax | 925-677-7444
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Authorized Official
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Title or Position | DIRECTOR CLINICAL &SUPPORT SERVICES
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Name | DR. SARA MARSH
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Credential | MSW, ED.D.
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Telephone | 925-278-1788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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