Organization
FIRST RESORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE JANAY DOYLE M.A. (DIRECTOR OF PROGRAMS)
(510) 569-1200
Entity
Organization
Contact information
Practice address
400 30TH ST, SUITE 401, OAKLAND, CA 94609-3306
(510) 891-9985
Mailing address
1933 DAVIS ST, SUITE 200B, SAN LEANDRO, CA 94577-1260
(510) 569-1200
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
140000330
CA
261QC1500X
Community Health Clinic/Center
220000395
CA
261QC1500X
Community Health Clinic/Center
220000477
CA
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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