Organization
POVERTY FREE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHARAM KOHAN (CHIEF EXECUTIVE OFFICER)
(415) 810-2011
Entity
Organization
Contact information
Practice address
1121 40TH ST, SUITE 5302, EMERYVILLE, CA 94608-3600
(415) 237-1984
Mailing address
1121 40TH ST, 5302, EMERYVILLE, CA 94608-3600
(415) 237-1984
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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