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Organization
ZDK, INC.
Active
Organization
ZDK, INC.
Active
Other names
The 14th Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN ELLEN ZWEBEN PH.D (PRESIDENT)
(510) 526-4442
Entity
Organization
Contact information
Practice address
1124 INTERNATIONAL BLVD, OAKLAND, CA 94606-4331
(510) 533-0800
(510) 533-0300
Mailing address
1124 INTERNATIONAL BLVD, OAKLAND, CA 94606-4331
(510) 533-0800
(510) 533-0300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01-20
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZR12025F
METHADONE DETOXIFICATION
CA
Enumeration date
07/17/2007
Last updated
07/17/2007
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