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NPI Code Detail

MEDICARE: CONTRA COSTA INTERFAITH TRANSITIONAL HOUSING

MEDICARE: CONTRA COSTA INTERFAITH TRANSITIONAL HOUSING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

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

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1992243794 — CHRISTINA YVETTE PADILLA
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Directions to “CONTRA COSTA INTERFAITH TRANSITIONAL HOUSING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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