| East Oakland Recovery Center | |
|
10700 Macarthur Blvd 12 Oakland CA 94605-5298 | |
| (510) 568-2432 | |
| (510) 568-3912 |
| Full Name | East Oakland Recovery Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10700 Macarthur Blvd, Oakland, California |
| Authorized Official Name and Position | Patricia Ann Johnson (DIRECTOR) |
| Authorized Official Contact | 5105682432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Oakland Recovery Center 10700 Macarthur Blvd 12 Oakland CA 94605-5298 Ph: (510) 568-2432 | East Oakland Recovery Center 10700 Macarthur Blvd 12 Oakland CA 94605-5298 Ph: (510) 568-2432 |
| NPI Number | 1932304185 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 07/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932304185 | NPI | - | NPPES |
| 01AD | Other | CA | ALCOHOL AND DRUGS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | S0504101918 (California) | Primary |
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