Provider Demographics
NPI:1942374426
Name:SENECA CENTER
Entity Type:Organization
Organization Name:SENECA CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENITAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:NDEGO
Authorized Official - Last Name:JITE-OGBUEHI
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:925-603-1944
Mailing Address - Street 1:3234 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-3069
Mailing Address - Country:US
Mailing Address - Phone:917-684-4338
Mailing Address - Fax:
Practice Address - Street 1:1034 OAK GROVE RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-3225
Practice Address - Country:US
Practice Address - Phone:925-603-1944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19298320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness