Provider Demographics
NPI:1699091959
Name:RO-BAY HEALTH EDUCATION RESOURCES INTERNATIONAL
Entity type:Organization
Organization Name:RO-BAY HEALTH EDUCATION RESOURCES INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENT OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:3236-386-5485
Mailing Address - Street 1:9049 E AVENUE Q12
Mailing Address - Street 2:
Mailing Address - City:LITTLEROCK
Mailing Address - State:CA
Mailing Address - Zip Code:93543-4029
Mailing Address - Country:US
Mailing Address - Phone:323-638-6485
Mailing Address - Fax:
Practice Address - Street 1:9049 E AVENUE Q12
Practice Address - Street 2:
Practice Address - City:LITTLEROCK
Practice Address - State:CA
Practice Address - Zip Code:93543-4029
Practice Address - Country:US
Practice Address - Phone:323-638-6485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management