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MAGNOLIA WOMEN'S RECOVERY PROGRAM INC. NPI 1942670237


NPI Information

NPI: 1942670237
Provider Name: MAGNOLIA WOMEN'S RECOVERY PROGRAM INC.
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

CLIA Number: 05D2215960

Address:
3408 ANDOVER ST
OAKLAND, CA
ZIP 94609
Phone: (510) 547-1531
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MAGNOLIA WOMEN'S RECOVERY PROGRAM INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Oakland, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. MAGNOLIA WOMEN'S RECOVERY PROGRAM INC. NPI is 1942670237. The provider is registered as an organization entity type.

The provider's business location address is:

3408 ANDOVER ST
OAKLAND, CA
ZIP 94609-817
Phone: (510) 547-1531
Fax: (510) 547-1543

The provider's authorized official is Maria C Arroyo .
The authorized official title is Client Services Coordinator and has the following contact phone number (510) 547-1531.

The CLIA number assigned to this NPI record is 05D2215960 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2015 and was last updated on 9/30/2015.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children010081CNCALIFORNIAYes

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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