Organization
COUNTY OF ALAMEDA
Active
Other names
Oakland Children's Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYE E THOMAS M.D. (DIRECTOR)
(510) 567-8100
Entity
Organization
Contact information
Practice address
7200 BANCROFT AVE, SUITE 125D, OAKLAND, CA 94605-2403
(800) 878-1313
Mailing address
PO BOX 129, SAN LEANDRO, CA 94577-0929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000001BQ
—
CA
Enumeration date
03/12/2007
Last updated
02/10/2011
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