Provider Demographics
NPI:1962601666
Name:ST MARY'S CENTER
Entity type:Organization
Organization Name:ST MARY'S CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAMS AND IMPACT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:RECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:510-923-9600
Mailing Address - Street 1:PO BOX 23403
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94623
Mailing Address - Country:US
Mailing Address - Phone:510-923-9600
Mailing Address - Fax:510-923-9606
Practice Address - Street 1:925 BROCKHURST STREET
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94608-4222
Practice Address - Country:US
Practice Address - Phone:510-923-9600
Practice Address - Fax:510-923-9606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health