Organization
SUPPORTIVE HOUSING COMMUNITY LAND ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESLIM IKHARO (EXECUTIVE DIRECTOR)
(510) 964-9500
Entity
Organization
Contact information
Practice address
3120 SHATTUCK AVE, BERKELEY, CA 94705-1823
(510) 964-9500
Mailing address
3120 SHATTUCK AVE, BERKELEY, CA 94705-1823
(510) 964-9500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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