Provider Demographics
NPI:1205043072
Name:THE ALLIANCE FOR COMMUNITY WELLNESS
Entity Type:Organization
Organization Name:THE ALLIANCE FOR COMMUNITY WELLNESS
Other - Org Name:LA FAMILIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FACILITIES AND OPERATIO
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVATIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-300-3516
Mailing Address - Street 1:26081 MOCINE AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-2923
Mailing Address - Country:US
Mailing Address - Phone:510-881-5921
Mailing Address - Fax:510-881-5925
Practice Address - Street 1:27206 CALAROGA AVE STE 107
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4300
Practice Address - Country:US
Practice Address - Phone:510-300-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0105Medicare ID - Type UnspecifiedPROVIDER NUMBER