SOLID FOUNDATION MANDELA II NPI 1366624132

NPI Information

SOLID FOUNDATION MANDELA II is a substance abuse rehabilitation facility in Oakland, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SOLID FOUNDATION MANDELA II NPI is 1366624132. The provider is registered as an organization entity type.

The provider's business location address is:

3408 ANDOVER ST
OAKLAND, CA
ZIP 94609-817
Phone: (510) 482-6490
Fax: (510) 482-6493

The provider's authorized official is Minnie Thomas .
The authorized official title is Executive Director and has the following contact phone number (510) 482-6490.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 12/3/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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