NPI 1053892356
Lincoln
Practice location
- Address
- 2801 Roosevelt Ln, Antioch, CA 94509-5038
- Phone
- (925) 779-7495
- Fax
- (925) 779-7496
- Mailing address
- 150 Linden St, Oakland, CA 94607-2538
Authorised official
- Name
- Allison Staulcup Becwar
- Title
- Chief Executive Officer
- Phone
- (510) 273-4700
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1053892356
- Entity type
- Organization
- NPI issued
- 24 Aug 2018
- Record last updated
- 5 Nov 2024
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.