Provider Demographics
NPI:1841608932
Name:ALLIANT INTERNATIONAL UNIVERSITY
Entity Type:Organization
Organization Name:ALLIANT INTERNATIONAL UNIVERSITY
Other - Org Name:SAN LEANDRO HIGH SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HASSE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-628-9065
Mailing Address - Street 1:1440 BROADWAY STE 610
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-2026
Mailing Address - Country:US
Mailing Address - Phone:510-206-8375
Mailing Address - Fax:510-628-9068
Practice Address - Street 1:2200 BANCROFT AVE
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-6108
Practice Address - Country:US
Practice Address - Phone:510-618-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health