Healthcare Provider Details

I. General information

NPI: 1942588728
Provider Name (Legal Business Name): SENECA FAMILY OF AGENCIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2011
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date: 11/08/2023
Reactivation Date: 12/05/2023

III. Provider practice location address

6529 RIVERSIDE AVE STE 160
RIVERSIDE CA
92506-3100
US

IV. Provider business mailing address

8945 GOLF LINKS RD
OAKLAND CA
94605-4124
US

V. Phone/Fax

Practice location:
  • Phone: 714-988-9822
  • Fax:
Mailing address:
  • Phone: 510-317-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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