Provider Demographics
NPI:1245030774
Name:RUBYS PLACE
Entity type:Organization
Organization Name:RUBYS PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SOPHORA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHESON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:510-519-8083
Mailing Address - Street 1:20880 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5729
Mailing Address - Country:US
Mailing Address - Phone:510-519-8083
Mailing Address - Fax:
Practice Address - Street 1:411 BERRY AVE
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-2326
Practice Address - Country:US
Practice Address - Phone:510-581-5626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUBY'S PLACE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness