Provider Demographics
NPI:1639591209
Name:CRISIS SUPPORT SERVICES OF ALAMEDA COUNTY
Entity Type:Organization
Organization Name:CRISIS SUPPORT SERVICES OF ALAMEDA COUNTY
Other - Org Name:SUICIDE PREVENTION OF ALAMEDA COUNTY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:510-420-2460
Mailing Address - Street 1:PO BOX 3120
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609
Mailing Address - Country:US
Mailing Address - Phone:510-420-2460
Mailing Address - Fax:510-420-2461
Practice Address - Street 1:6117 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1240
Practice Address - Country:US
Practice Address - Phone:510-420-2460
Practice Address - Fax:510-420-2461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health