Provider First Line Business Practice Location Address:
525 21ST ST.
Provider Second Line Business Practice Location Address:
VETERAN'S ADMINISTRATION MENTAL HEALTH CLINIC
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94612-1605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-385-4310
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2010