Organization
LINCOLN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BECWAR LCSW (PRESIDENT & CEO)
(510) 273-4700
Entity
Organization
Contact information
Practice address
314 E 10TH ST, OAKLAND, CA 94606-2302
(510) 273-4700
Mailing address
1266 14TH ST, OAKLAND, CA 94607-2205
(510) 273-4700
(510) 530-8083
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000054BM
MEDI-CAL PROVIDER NUMBER
CA
01
—
0183
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
02/02/2007
Last updated
10/07/2020
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