Provider Demographics
NPI:1811035561
Name:CATHOLIC CHARITIES OF THE EAST BAY
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF THE EAST BAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COUNSELING SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:H.
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:510-768-3103
Mailing Address - Street 1:433 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3539
Mailing Address - Country:US
Mailing Address - Phone:510-768-3100
Mailing Address - Fax:
Practice Address - Street 1:3540 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-2417
Practice Address - Country:US
Practice Address - Phone:925-825-3099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41805106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty