Organization
SUSTAIN THE ROX ,INC
Active
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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