Provider Demographics
NPI:1306315460
Name:EAST OAKLAND COMMUNITY PROJECT
Entity type:Organization
Organization Name:EAST OAKLAND COMMUNITY PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGEMENT SERVICES MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:OLA
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:COLEMON
Authorized Official - Suffix:
Authorized Official - Credentials:MACP
Authorized Official - Phone:510-447-3504
Mailing Address - Street 1:7515 INTERNATIONAL BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-2843
Mailing Address - Country:US
Mailing Address - Phone:510-532-3211
Mailing Address - Fax:510-532-2112
Practice Address - Street 1:7515 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-2843
Practice Address - Country:US
Practice Address - Phone:510-532-3211
Practice Address - Fax:510-532-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management