Organization
BLACKBIRD INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE P PORTER MFT (OFFICER)
(510) 604-0428
Entity
Organization
Contact information
Practice address
444 34TH ST, OAKLAND, CA 94609-2816
(510) 604-0428
Mailing address
444 34TH ST, OAKLAND, CA 94609-2816
(510) 604-0428
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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