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Organization
RESTORATIVE JUSTICE FOR OAKLAND YOUTH
Active
Organization
RESTORATIVE JUSTICE FOR OAKLAND YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEIAHSHA BANKHEAD LCSW, PHD (EXECUTIVE DIRECTOR)
(510) 599-7774
Entity
Organization
Contact information
Practice address
1733 BROADWAY, OAKLAND, CA 94612-2105
(510) 931-7569
Mailing address
1733 BROADWAY, OAKLAND, CA 94612-2105
(510) 931-7569
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/22/2020
Last updated
04/08/2026
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