# LINCOLN CHILD CENTER

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

## Provider details

- **NPI number:** 1427105154
- **Authorized official:** MRS. HEATHER LYNN CARABAJAL IMFT (DAY TREATMENT CLINICIAN)
- **Authorized official phone:** (510) 531-3111

## Contact information

- **Practice address:** 4368 LINCOLN AVE, OAKLAND, CA 94602-2529
- **Practice address phone:** (510) 531-3111
- **Practice address fax:** (510) 530-8083
- **Mailing address:** 1505 JACKSON ST, APT. \#107, OAKLAND, CA 94612-4459
- **Mailing address phone:** (805) 746-9670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 52036 | CA | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2020