LA CLINICA DE LA RAZA INC. NPI 1669773008

NPI Information

LA CLINICA DE LA RAZA, INC. is an adolescent and children mental health clinic center in Oakland, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. LA CLINICA DE LA RAZA, INC. NPI is 1669773008. The provider is registered as an organization entity type.
The provider Other Name Is Casa Del Sol (ascend Elementary School).

The provider's business location address is:

3709 E 12TH ST
OAKLAND, CA
ZIP 94601-001
Phone: (510) 535-6200
Fax: (510) 535-4167

The provider's authorized official is Jane Garcia .
The authorized official title is Chief Executive Officer and has the following contact phone number (510) 535-4000.

The enumeration date for this NPI number is 11/16/2010 and was last updated on 11/18/2010.

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:

Other Identifiers

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

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