Organization
ADOLESCENT TREATMENT CENTERS, INC AND THUNDER ROAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE SVOBODA (SUPERVISOR ADMINISTRATION)
(510) 653-5040
Entity
Organization
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
(510) 653-6475
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
(510) 653-6475
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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