Organization
CRE8INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAN LAM (EXECUTIVE DIRECTOR)
(916) 880-8138
Entity
Organization
Contact information
Practice address
1219 PERALTA ST, OAKLAND, CA 94607-2013
(916) 880-8138
Mailing address
1219 PERALTA ST, OAKLAND, CA 94607-2013
(916) 880-8138
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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