Provider Demographics
NPI:1922306455
Name:CENTER FOR EMPOWERING REFUGEES AND IMMIGRANTS
Entity Type:Organization
Organization Name:CENTER FOR EMPOWERING REFUGEES AND IMMIGRANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:AFARY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MFT
Authorized Official - Phone:510-444-1671
Mailing Address - Street 1:544 INTERNATIONAL BLVD APT 9
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-2973
Mailing Address - Country:US
Mailing Address - Phone:510-444-1671
Mailing Address - Fax:510-444-4283
Practice Address - Street 1:4521 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2140
Practice Address - Country:US
Practice Address - Phone:510-444-1671
Practice Address - Fax:510-444-4283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC23809251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health