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EAST BAY AGENCY FOR CHILDREN NPI 1467889162


NPI Information

NPI: 1467889162
Provider Name: EAST BAY AGENCY FOR CHILDREN

Doing Business As: EBAC-ROOTS INTL ACADEMY & COLISEUM COLLEGE PREP ACADEMY

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1390 66TH AVE
OAKLAND, CA
ZIP 94621
Phone: (510) 918-8424
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EAST BAY AGENCY FOR CHILDREN is a community behavioral health in Oakland, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EAST BAY AGENCY FOR CHILDREN NPI is 1467889162. The provider is registered as an organization entity type.
The provider Is Doing Business As Ebac-roots Intl Academy & Coliseum College Prep Academy.

The provider's business location address is:

1390 66TH AVE
OAKLAND, CA
ZIP 94621-506
Phone: (510) 918-8424

The provider's authorized official is Jeannette Rodriguez .
The authorized official title is Cqi Administrative Coordinator and has the following contact phone number (510) 844-5368.

The enumeration date for this NPI number is 9/26/2013 and was last updated on 7/29/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

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: 11/14/2023

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