Provider Demographics
NPI:1215501580
Name:PACT, AN ADOPTION ALLIANCE
Entity type:Organization
Organization Name:PACT, AN ADOPTION ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH (BETH)
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-243-9460
Mailing Address - Street 1:PACT, AN ADOPTION ALLIANCE
Mailing Address - Street 2:5515 DOYLE STREET SUITE #1
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-2548
Mailing Address - Country:US
Mailing Address - Phone:510-243-9460
Mailing Address - Fax:510-243-9970
Practice Address - Street 1:PACT, AN ADOPTION ALLIANCE
Practice Address - Street 2:5515 DOYLE STREET SUITE #1
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-2548
Practice Address - Country:US
Practice Address - Phone:510-243-9460
Practice Address - Fax:510-243-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)