Provider Demographics
NPI:1639991219
Name:ALAMEDA FAMILY THERAPY SERVICES
Entity type:Organization
Organization Name:ALAMEDA FAMILY THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:SADIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZI-KOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:151-074-7974
Mailing Address - Street 1:2307 BLANDING AVE STE E
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1476
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2307 BLANDING AVE STE E
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1476
Practice Address - Country:US
Practice Address - Phone:510-747-9740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty