Provider Demographics
NPI:1245443399
Name:NEW CONNECTIONS BEHAVIORAL HEALTH SERVIVES
Entity type:Organization
Organization Name:NEW CONNECTIONS BEHAVIORAL HEALTH SERVIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CALWORKS LIAISON
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:NIXON
Authorized Official - Last Name:MCCLENDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-313-7964
Mailing Address - Street 1:30 MUIR RD
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4601
Mailing Address - Country:US
Mailing Address - Phone:925-313-7964
Mailing Address - Fax:925-313-1810
Practice Address - Street 1:30 MUIR RD
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4601
Practice Address - Country:US
Practice Address - Phone:925-313-7964
Practice Address - Fax:925-313-1810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty