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NTU WELLNESS CENTER NPI 1194496281


NPI Information

NPI: 1194496281
Provider Name: NTU WELLNESS CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
614 GRAND AVE STE 324
OAKLAND, CA
ZIP 94610
Phone: (510) 879-7402
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NTU WELLNESS CENTER is a mental health (including community mental health center) clinic center in Oakland, CA. NTU WELLNESS CENTER NPI is 1194496281. The provider is registered as an organization entity type.

The provider's business location address is:

614 GRAND AVE STE 324
OAKLAND, CA
ZIP 94610-563
Phone: (510) 879-7402

The provider's authorized official is Claudius Johnson .
The authorized official title is Executive Director and has the following contact phone number (510) 879-7402.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 9/28/2021.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251V00000XVoluntary or CharitableNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CA236752MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.