Healthcare Provider Details

I. General information

NPI: 1063862845
Provider Name (Legal Business Name): ALTERNATIVES IN ACTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 MYRTLE ST
OAKLAND CA
94607-3415
US

IV. Provider business mailing address

3666 GRAND AVE STE A
OAKLAND CA
94610-2046
US

V. Phone/Fax

Practice location:
  • Phone: 510-874-3787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA MURILLO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-285-6290