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Organization

BOSS

Active
Parent organization
CASA MARIA
Other names
Casa Maria
Organization subpart
Yes

Provider details

NPI number
Legal business name
CASA MARIA
Authorized official
MRS. MONICA CHAMBERS MSW (TEAM LEADER)
(510) 899-4207
Entity
Organization

Contact information

Practice address
2280 SAN PABLO AVE, OAKLAND, CA 94612-1321
(510) 899-4200
Mailing address
2280 SAN PABLO AVE, OAKLAND, CA 94612-1321
(510) 899-4200

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/09/2012
Last updated
10/09/2012
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