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NPI Profile

NPI: 1811024193

Doing Business As: THUNDER ROAD

Classification:Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
390 40TH ST
ZIP 94609
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Phone: (510) 653-5040

ADOLESCENT TREATMENT CENTERS INC. is a residential treatment facility emotionally disturbed children in Oakland, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ADOLESCENT TREATMENT CENTERS INC. NPI is 1811024193. The provider is registered as an organization entity type.
The provider Is Doing Business As Thunder Road.

The provider's business location address is:

390 40TH ST
ZIP 94609-633
Phone: (510) 653-5040
Fax: (510) 653-6475

The provider's authorized official is Tom Gerstel .
The authorized official title is Administrator and has the following contact phone number (510) 450-8200.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenCALIFORNIAX

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: 10/10/2021

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