Boss
Community Based Residential Treatment Facility, Mental Illness in Oakland, CA. Organization (NPI-2).
NPI number1104178508
StatusActive
Last updated in NPPESOct 9, 2012
Details
- NPI
- 1104178508
- Entity type
- Organization (NPI-2)
- Legal business name
- Boss
- Organization subpart
- Yes
- Enumeration date
- Oct 9, 2012
- Last updated
- Oct 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Other names
- Casa Maria (Doing Business As)
Practice location
2280 San Pablo AveOakland, CA 94612-1321
Phone 510-899-4200
Mailing address
2280 San Pablo AveOakland, CA 94612-1321
Phone 510-899-4200
Authorized official
Monica Chambers
Team Leader
5108994207
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All 15 Mental Illness Community Based Residential Treatment Facility providers in Oakland · All 20,942 providers in Oakland
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