Healthcare Provider Details

I. General information

NPI: 1952620171
Provider Name (Legal Business Name): LA CHEIM SCHOOL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 MCBRYDE AVE
RICHMOND CA
94805-1162
US

IV. Provider business mailing address

4892 SAN PABLO DAM RD
EL SOBRANTE CA
94803-3222
US

V. Phone/Fax

Practice location:
  • Phone: 510-236-0444
  • Fax:
Mailing address:
  • Phone: 510-243-2360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL THOMAS
Title or Position: CEO
Credential: MSW, MPA
Phone: 510-222-0292