Provider Demographics
NPI:1205095296
Name:ABILITY RESOURCE CENTER
Entity type:Organization
Organization Name:ABILITY RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:GELFENBEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:925-695-0409
Mailing Address - Street 1:1415 OAKLAND BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4386
Mailing Address - Country:US
Mailing Address - Phone:925-695-0409
Mailing Address - Fax:925-932-6374
Practice Address - Street 1:1415 OAKLAND BLVD
Practice Address - Street 2:STE 100
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4386
Practice Address - Country:US
Practice Address - Phone:925-695-0409
Practice Address - Fax:925-932-6374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32477251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health