Healthcare Provider Details

I. General information

NPI: 1225701337
Provider Name (Legal Business Name): CULTURAL AWARENESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 MOUNT SILLIMAN WAY
ANTIOCH CA
94531-8802
US

IV. Provider business mailing address

2514 CARMEL ST
OAKLAND CA
94602-3015
US

V. Phone/Fax

Practice location:
  • Phone: 925-776-5191
  • Fax: 925-706-2905
Mailing address:
  • Phone: 510-772-0442
  • Fax: 510-482-0114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: LASONDRA KAY JONES
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 510-772-0442