Organization
THE WEST OAKLAND HEALTH COUNCIL
Active
Parent organization
THE WEST OAKLAND HEALTH COUNCIL
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE WEST OAKLAND HEALTH COUNCIL
Authorized official
MR. BENJAMIN F. PETTUS (CEO)
(510) 835-9610
Entity
Organization
Contact information
Practice address
7501 INTERNATIONAL BLVD, OAKLAND, CA 94621
(510) 729-8800
Mailing address
700 ADELINE ST, OAKLAND, CA 94607-2608
(510) 835-9610
(510) 272-0209
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010172000
—
CA
Enumeration date
04/03/2007
Last updated
05/17/2017
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