| Highland Substance Abuse | |
|
1411 E 31st St Oakland CA 94602-1018 | |
| (510) 437-5192 | |
| (510) 261-3112 |
| Full Name | Highland Substance Abuse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1411 E 31st St, Oakland, California |
| Authorized Official Name and Position | Gloria Jenkins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5104375137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Substance Abuse 1411 E 31st St Oakland CA 94602-1018 Ph: (510) 437-5192 | Highland Substance Abuse 1411 E 31st St Oakland CA 94602-1018 Ph: (510) 437-5192 |
| NPI Number | 1265674311 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 04/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265674311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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