Second Chance Cabrillo Center
NPI #1285837583 in Freemont, California
Provider Information
- NPI Number
- 1285837583
- Entity Type
- Organization
- Organization Name
- Second Chance Cabrillo Center
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4673 THORNTON AVENUE
- Address 2
- SUITE P
- City
- Freemont
- State
- California
- ZIP Code
- 94536
- Phone
- (510) 745-1675
Authorized Official
- Name
- MARK R MCCONVILLE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (510) 792-4357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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| MS. Rhea W Fugal, L.C.S.W. |
Organizations
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|---|---|
| Walden House | |
| Open Paths Counseling Center | |
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