# FIRST RESORT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053657569
- **Authorized official:** MS. VALERIE JANAY DOYLE M.A. (DIRECTOR OF PROGRAMS)
- **Authorized official phone:** (510) 569-1200

## Contact information

- **Practice address:** 400 30TH ST, SUITE 401, OAKLAND, CA 94609-3306
- **Practice address phone:** (510) 891-9985
- **Mailing address:** 1933 DAVIS ST, SUITE 200B, SAN LEANDRO, CA 94577-1260
- **Mailing address phone:** (510) 569-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 140000330 | CA | Yes |
| 261QC1500X | Community Health Clinic/Center | 220000395 | CA | — |
| 261QC1500X | Community Health Clinic/Center | 220000477 | CA | — |

## Other

- **Enumeration date:** 01/02/2013
- **Last updated:** 01/02/2013