SAMUEL TAYLOR III

Residential Treatment Facility, Emotionally Disturbed Children

Active Individual
NPI: 1720218266

Practice Address

581 63RD ST
Oakland, CA 94609

Phone: (415) 410-4975

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes -

Frequently Asked Questions

NPI 1720218266 is the National Provider Identifier for SAMUEL TAYLOR III, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Oakland, CA. This NPI was enumerated on July 17, 2009.
SAMUEL TAYLOR III practices at 581 63RD ST, Oakland, CA 94609.

Quick Facts

NPI
1720218266
Type
Individual
Enumerated
Jul 17, 2009
Last Updated
Jul 17, 2009

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