| Youthalive | |
|
3300 Elm St Oakland CA 94609-3012 | |
| (510) 594-2588 | |
| (510) 594-0667 |
| Full Name | Youthalive |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3300 Elm St, Oakland, California |
| Authorized Official Name and Position | Anne Marks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5105942588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youthalive 3300 Elm St Oakland CA 94609-3012 Ph: (510) 594-2588 | Youthalive 3300 Elm St Oakland CA 94609-3012 Ph: (510) 594-2588 |
| NPI Number | 1700132164 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700132164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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