# SUPPORTIVE HOUSING COMMUNITY LAND ALLIANCE

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

## Provider details

- **NPI number:** 1225893712
- **Authorized official:** TESLIM IKHARO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (510) 964-9500

## Contact information

- **Practice address:** 3120 SHATTUCK AVE, BERKELEY, CA 94705-1823
- **Practice address phone:** (510) 964-9500
- **Mailing address:** 3120 SHATTUCK AVE, BERKELEY, CA 94705-1823
- **Mailing address phone:** (510) 964-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2024
- **Last updated:** 02/14/2024