Organization
ST. MARY'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL JOHNSON (EXECUTIVE DIRECTOR)
(510) 923-9600
Entity
Organization
Contact information
Practice address
925 BROCKHURST ST, OAKLAND, CA 94608-4222
(510) 923-9600
(510) 923-9606
Mailing address
925 BROCKHURST ST, OAKLAND, CA 94608-4222
(510) 923-9600
(510) 923-9606
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
ASW 27607
CA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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