Healthcare Provider Details

I. General information

NPI: 1104509496
Provider Name (Legal Business Name): SENECA FAMILY OF AGENCIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARKHAM ELEMENTARY 7220 KRAUSE AVE
OAKLAND CA
94605
US

IV. Provider business mailing address

2275 ARLINGTON DR
SAN LEANDRO CA
94578-1132
US

V. Phone/Fax

Practice location:
  • Phone: 510-639-3202
  • Fax:
Mailing address:
  • Phone: 510-654-4004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT OSBORN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 510-520-0943