Healthcare Provider Details
I. General information
NPI: 1255628079
Provider Name (Legal Business Name): COUNTY OF ALAMEDA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2011
Last Update Date: 06/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7997 VOMAC RD
DUBLIN CA
94568-1409
US
IV. Provider business mailing address
PO BOX 129
SAN LEANDRO CA
94577-0929
US
V. Phone/Fax
- Phone: 510-383-5100
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARYE
E
THOMAS
Title or Position: DIRECTOR
Credential: M.D.
Phone: 510-567-8100