Provider Demographics
NPI:1447385695
Name:SENECA CENTER
Entity Type:Organization
Organization Name:SENECA CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CTF TRAINER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUROID
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:DEVAULL
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:925-603-1900
Mailing Address - Street 1:1626 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-1612
Mailing Address - Country:US
Mailing Address - Phone:510-535-9549
Mailing Address - Fax:
Practice Address - Street 1:1626 27TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1612
Practice Address - Country:US
Practice Address - Phone:510-535-9549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness