| Oakland Community Support Center | |
|
7200 Bancroft Ave Ste 202 Oakland CA 94605-2471 | |
| (510) 777-3800 | |
| Not Available |
| Full Name | Oakland Community Support Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7200 Bancroft Ave Ste 202, Oakland, California |
| Authorized Official Name and Position | Karyn L Tribble (DIRECTOR) |
| Authorized Official Contact | 5105678100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Community Support Center Po Box 129 San Leandro CA 94577-0929 Ph: () - | Oakland Community Support Center 7200 Bancroft Ave Ste 202 Oakland CA 94605-2471 Ph: (510) 777-3800 |
| NPI Number | 1831221571 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831221571 | NPI | - | NPPES |
| 000000108 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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