Caryn Ann Brock in Hercules - Addiction (substance Use Disorder)

Caryn Ann Brock - NPI 1922201458

Caryn Ann Brock is a Addiction (substance Use Disorder) in Hercules, California. Caryn Ann Brock practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Caryn Ann Brock is 1922201458. The last update date is 2007-07-08.

Caryn Ann Brock's current location address is 127 Grenadine Way, Hercules, California. You can contact this provider via phone number 5107997570 and fax number 5107991866. The mailing address for Caryn Ann Brock is 127 Grenadine Way, Hercules, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Caryn Ann Brock
Address 127 Grenadine Way, Hercules, California
Phone Number 5107997570
Fax Number 5107991866
Sole Proprietor N
Credentials RAS

NPI Number Detail

NPI Number 1922201458
Provider Enumeration Date 2007-06-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 127 Grenadine Way
City Hercules
State California (CA)
Post Code 945472041
Phone Number 5107997570
Fax Number 5107991866

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Caryn Ann Brock

What is the unique identification code assigned to Caryn Ann Brock by the Centers for Medicare & Medicaid Services?

The Caryn Ann Brock has been issued the NPI (National Provider Identifier) 1922201458. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Caryn Ann Brock's facilities are geographically located?

The facilities of Caryn Ann Brock are physically situated at the following location: 127 Grenadine Way, Hercules, CA, 945472041.

What is the Caryn Ann Brock's specialty and taxonomy code?

The Caryn Ann Brock's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1922201458 to Caryn Ann Brock?

The Caryn Ann Brock received its 1922201458 assignment from the Centers for Medicare & Medicaid Services on 2007-06-11.

As of what date was the information pertaining to Caryn Ann Brock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Caryn Ann Brock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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