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SISTER-TO-SISTER 2 INC. NPI 1497247977


NPI Information

NPI: 1497247977
Provider Name: SISTER-TO-SISTER 2, INC.

Doing Business As: SERENITY HOUSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2363A SAN PABLO AVE
OAKLAND, CA
ZIP 94612
Phone: (510) 891-0464
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SISTER-TO-SISTER 2, INC. is a community based residential treatment facility mental illness in Oakland, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SISTER-TO-SISTER 2, INC. NPI is 1497247977. The provider is registered as an organization entity type.
The provider Is Doing Business As Serenity House.

The provider's business location address is:

2363A SAN PABLO AVE
OAKLAND, CA
ZIP 94612-136
Phone: (510) 891-0464

The provider's authorized official is Jetaun G Mills .
The authorized official title is Executive Director and has the following contact phone number (510) 891-0464.

The enumeration date for this NPI number is 5/31/2018 and was last updated on 5/31/2018.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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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