Provider Demographics
NPI:1174775639
Name:SIDE BY SIDE
Entity type:Organization
Organization Name:SIDE BY SIDE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:415-457-3200
Mailing Address - Street 1:22245 MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4028
Mailing Address - Country:US
Mailing Address - Phone:510-727-9401
Mailing Address - Fax:510-727-9405
Practice Address - Street 1:22245 MAIN ST
Practice Address - Street 2:SUITES 102, 200-215
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4028
Practice Address - Country:US
Practice Address - Phone:510-727-9401
Practice Address - Fax:510-727-9405
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIDE BY SIDE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-15
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health