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Roosevelt School-based Behavioral Health
Adolescent and Children Mental Health Clinic/Center in Oakland, California
NPI 1003340738

Roosevelt School-based Behavioral Health is an Adolescent and Children Mental Health Clinic/Center based in Oakland, CA and is specialized in Adolescent and Children Mental Health. Roosevelt School-based Behavioral Health practices in Oakland, CA. The NPI Number for Roosevelt School-based Behavioral Health is 1003340738 and holds a License No. (California).

The current practice location address for Roosevelt School-based Behavioral Health is 1926 E 19Th St, Oakland, CA and can be reached out via phone at 510-535-4000.

Location: 1926 E 19Th St, Oakland, CA, 94623-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003340738
Provider Name
Roosevelt School-based Behavioral Health
Credential
Provider Entity Type
Organization
Address
1926 E 19Th St, Oakland, CA, 94623-2210
Phone Number
510-535-4000
Fax Number
Provider Enumeration Date
04/19/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01QQ1 01 CA ALAMEDA COUNTY BEHAVIORAL HEALTH CARE SERVICES
institution
Provider Business Practice Location Address Details
Address
1926 E 19Th St
City
Oakland
State
California
Zip
94606-4126
Phone Number
510-535-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1926 E 19Th St
City
Oakland
State
California
Zip
94606-4126
Phone Number
510-535-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
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.
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