Organization
BLACKBIRD FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LINDGREN MFT (CEO)
(415) 828-9829
Entity
Organization
Contact information
Practice address
3956 EDGEMOOR PL, OAKLAND, CA 94605-2606
(510) 594-4332
(510) 878-7369
Mailing address
3956 EDGEMOOR PL, OAKLAND, CA 94605-2606
(510) 594-4332
(510) 878-7369
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC46949
CA
Other
Enumeration date
03/27/2009
Last updated
07/31/2009
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