person
Samuel Irving Taylor III
Emotionally Disturbed Childrens' Residential Treatment Facility in Oakland, California
NPI 1720218266

Samuel Irving Taylor III is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Oakland, CA. Samuel Irving Taylor III practices in Oakland, CA. The NPI Number for Samuel Irving Taylor III is 1720218266 and holds a License No. (California).

The current practice location address for Samuel Irving Taylor III is 581 63Rd St, Oakland, CA and can be reached out via phone at 415-410-4975.

Location: 581 63Rd St, Oakland, CA, 94609-1244
person
Provider Profile Details
NPI Number
1720218266
Provider Name
Samuel Irving Taylor III
Credential
Provider Entity Type
Individual
Gender
Male
Address
581 63Rd St, Oakland, CA, 94609-1244
Phone Number
415-410-4975
Fax Number
Provider Enumeration Date
07/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
581 63Rd St
City
State
Zip
94609-1244
Phone Number
415-410-4975
Fax Number
person
Provider Business Mailing Address Details
Address
581 63Rd St
City
State
Zip
94609-1244
Phone Number
415-410-4975
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
Definition
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.
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