| Tiamat Treatment Center Iop | |
|
3022 International Blvd Ste 410 Oakland CA 94601-2229 | |
| (510) 813-5939 | |
| Not Available |
| Full Name | Tiamat Treatment Center Iop |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3022 International Blvd Ste 410, Oakland, California |
| Authorized Official Name and Position | Donna Edwards (CEO) |
| Authorized Official Contact | 5108135939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiamat Treatment Center Iop 3022 International Blvd Ste 410 Oakland CA 94601-2229 Ph: (510) 813-5939 | Tiamat Treatment Center Iop 3022 International Blvd Ste 410 Oakland CA 94601-2229 Ph: (510) 813-5939 |
| NPI Number | 1497612733 |
|---|---|
| Provider Enumeration Date | 01/08/2026 |
| Last Update Date | 01/08/2026 |
| Certification Date | 01/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497612733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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