NPI 1043643919

Eden Adult Community Support Center

Organisation Community/Behavioral Health Agency San Leandro, CA

Practice location

Address: 2045 Fairmont Dr, San Leandro, CA 94578-1088
Phone: (510) 667-7500

Authorised official

Name: Carla Danby
Title: Clinic Supervisor
Phone: (510) 667-7518

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 831171 (CA)

Other Community/Behavioral Health providers in California →

Registry record

NPI: 1043643919
Entity type: Organization
NPI issued: 15 Aug 2013
Record last updated: 15 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.