Provider Demographics
NPI:1194170381
Name:GIRLS INCORPORATED OF ALAMEDA COUNTY
Entity type:Organization
Organization Name:GIRLS INCORPORATED OF ALAMEDA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JULAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VIRGIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-357-5515
Mailing Address - Street 1:510 16TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-1520
Mailing Address - Country:US
Mailing Address - Phone:510-357-5515
Mailing Address - Fax:510-318-5396
Practice Address - Street 1:2251 BANCROFT AVE
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577
Practice Address - Country:US
Practice Address - Phone:510-357-5515
Practice Address - Fax:510-318-5396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health