| Maya Angelou Academy | |
|
3695 High St Oakland CA 94619-2105 | |
| (510) 317-1444 | |
| Not Available |
| Full Name | Maya Angelou Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3695 High St, Oakland, California |
| Authorized Official Name and Position | Scott Osborn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5105200943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maya Angelou Academy 6925 Chabot Rd Oakland CA 94618-1921 Ph: (510) 654-4004 | Maya Angelou Academy 3695 High St Oakland CA 94619-2105 Ph: (510) 317-1444 |
| NPI Number | 1235344862 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235344862 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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