Provider Demographics
NPI:1962540674
Name:CATHOLIC CHARITIES OF THE DIOCESE OF OAKLAND
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF THE DIOCESE OF OAKLAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF PROGRAM OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:NERY
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-823-7517
Mailing Address - Street 1:433 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3539
Mailing Address - Country:US
Mailing Address - Phone:510-768-3100
Mailing Address - Fax:510-451-6998
Practice Address - Street 1:433 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3539
Practice Address - Country:US
Practice Address - Phone:510-768-3100
Practice Address - Fax:510-451-6998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health