Provider Demographics
NPI:1447557749
Name:WESTWIND COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:WESTWIND COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LIA
Authorized Official - Last Name:GATES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:510-233-2728
Mailing Address - Street 1:PO BOX 605
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94808-0605
Mailing Address - Country:US
Mailing Address - Phone:510-233-2728
Mailing Address - Fax:
Practice Address - Street 1:2901 MACDONALD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-3009
Practice Address - Country:US
Practice Address - Phone:510-233-2728
Practice Address - Fax:510-233-2053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency