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La Clinica De La Raza, Inc.
Adolescent and Children Mental Health Clinic/Center in Oakland, California
NPI 1669773008

La Clinica De La Raza, Inc. is an Adolescent and Children Mental Health Clinic/Center based in Oakland, CA and is specialized in Adolescent and Children Mental Health. La Clinica De La Raza, Inc. practices in Oakland, CA. The NPI Number for La Clinica De La Raza, Inc. is 1669773008 and holds a License No. (California).

The current practice location address for La Clinica De La Raza, Inc. is 3709 E 12Th St, Oakland, CA and can be reached out via phone at 510-535-6200 and via fax at 510-535-4167.

Location: 3709 E 12Th St, Oakland, CA, 94623-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669773008
Provider Name
La Clinica De La Raza, Inc.
Credential
Provider Entity Type
Organization
Address
3709 E 12Th St, Oakland, CA, 94623-2210
Phone Number
510-535-6200
Fax Number
510-535-4167
Provider Enumeration Date
11/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TBD 01 CA ACBHCS
institution
Provider Business Practice Location Address Details
Address
3709 E 12Th St
City
Oakland
State
California
Zip
94601-4001
Phone Number
510-535-6200
Fax Number
510-535-4167
person
Provider Business Mailing Address Details
Address
3709 E 12Th St
City
Oakland
State
California
Zip
94601-4001
Phone Number
510-535-6200
Fax Number
510-535-4167
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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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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