Organization
SOLID FOUNDATION MANDELA II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINNIE THOMAS (EXECUTIVE DIRECTOR)
(510) 482-6490
Entity
Organization
Contact information
Practice address
3408 ANDOVER ST, OAKLAND, CA 94609-2817
(510) 482-6490
(510) 482-6493
Mailing address
2577 MACARTHUR BLVD, OAKLAND, CA 94602-2929
(510) 482-6490
(510) 482-6493
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
010011FN
CA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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