Organization
SUSTAIN THE ROX ,INC
Active
Other names
S. T. R., INC
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL W. DEVERS LCSW (PRESIDENT)
(773) 886-2674
Entity
Organization
Contact information
Practice address
2359 CHURCH ST, OAKLAND, CA 94605-2353
(773) 886-2674
Mailing address
2359 CHURCH ST, OAKLAND, CA 94605-2353
(773) 886-2674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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