# FRED FINCH YOUTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fred Finch Youth Center-Oakland Technical School
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619264389
- **Authorized official:** MR. THOMAS N ALEXANDER LCSW (PRESIDENT AND CEO)
- **Authorized official phone:** (510) 482-2244

## Contact information

- **Practice address:** 4351 BROADWAY, OAKLAND, CA 94611-4612
- **Practice address phone:** (510) 879-3050
- **Mailing address:** 3800 COOLIDGE AVE, OAKLAND, CA 94602-3311
- **Mailing address phone:** (510) 482-2244
- **Mailing address fax:** (510) 488-1960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | NULL | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2011
- **Last updated:** 09/23/2016