Healthcare Provider Details

I. General information

NPI: 1386183457
Provider Name (Legal Business Name): GODS LOVE OUTREACH MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2017
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 RINCON AVE
LIVERMORE CA
94551-6524
US

IV. Provider business mailing address

851 RINCON AVE
LIVERMORE CA
94551-6524
US

V. Phone/Fax

Practice location:
  • Phone: 925-443-3680
  • Fax: 925-443-3696
Mailing address:
  • Phone: 925-443-3680
  • Fax: 925-443-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number019200678
License Number StateCA

VIII. Authorized Official

Name: DR. ALLEN TURNER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 925-570-3282