Organization
MAN TO MAN - URBAN YOUTH ADVOCATE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART PERRILLIAT (CEO)
(408) 750-4334
Entity
Organization
Contact information
Practice address
7200 BANCROFT AVE STE 266, OAKLAND, CA 94605-2465
(408) 750-4334
Mailing address
5416 SHALLOWS PL W, SANTA ROSA, CA 95409-5502
(408) 750-4334
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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