Provider Demographics
NPI:1487065835
Name:THERAPEUTIC RESDENTIAL CARE SERVICE INC.
Entity type:Organization
Organization Name:THERAPEUTIC RESDENTIAL CARE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HARMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:925-356-0122
Mailing Address - Street 1:2249 PACHECO ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2015
Mailing Address - Country:US
Mailing Address - Phone:925-356-0122
Mailing Address - Fax:925-356-0124
Practice Address - Street 1:2249 PACHECO ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2015
Practice Address - Country:US
Practice Address - Phone:925-356-0122
Practice Address - Fax:925-356-0124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26333103TC0700X
CAPSY16738103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty