Organization
LINCOLN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLISON STAULCUP BECWAR LCSW (CHIEF EXECUTIVE OFFICER)
(510) 273-4700
Entity
Organization
Contact information
Practice address
3670 PENNIMAN AVE, OAKLAND, CA 94619-1116
(510) 535-2812
(510) 535-2815
Mailing address
1266 14TH ST, OAKLAND, CA 94607-2247
(510) 273-4700
(510) 530-8083
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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