Provider Demographics
NPI:1225568603
Name:TRINITY CENTER WALNUT CREEK
Entity type:Organization
Organization Name:TRINITY CENTER WALNUT CREEK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:VRADELIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-457-1329
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-0126
Mailing Address - Country:US
Mailing Address - Phone:925-949-8712
Mailing Address - Fax:925-949-8713
Practice Address - Street 1:1888 TRINITY AVE
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4035
Practice Address - Country:US
Practice Address - Phone:925-949-8712
Practice Address - Fax:925-949-8713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty