Organization
LINCOLN CHILD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER LYNN CARABAJAL IMFT (DAY TREATMENT CLINICIAN)
(510) 531-3111
Entity
Organization
Contact information
Practice address
4368 LINCOLN AVE, OAKLAND, CA 94602-2529
(510) 531-3111
(510) 530-8083
Mailing address
1505 JACKSON ST, APT. #107, OAKLAND, CA 94612-4459
(805) 746-9670
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
52036
CA
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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