California Portsmouth Square Association
NPI #1477172864 in Richmond, California
Provider Information
- NPI Number
- 1477172864
- Entity Type
- Organization
- Organization Name
- California Portsmouth Square Association
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Apr 15, 2020
- Last Updated
- Jul 10, 2025
Practice Location
- Address
- 686 HUMBOLDT ST
- City
- Richmond
- State
- California
- ZIP Code
- 94805-1959
- Phone
- (510) 236-3388
Authorized Official
- Name
- MR. LONNIE HOLMES, MPA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (415) 574-1213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Case Management |
| Public Health or Welfare |
| Community/Behavioral Health |
| Early Intervention Provider Agency |
| Foster Care Agency |
| Preferred Provider Organization |
| Custodial Care Facility |
| Residential Treatment Facility, Emotionally Disturbed Children |
| Non-emergency Medical Transport (VAN) |
| Private Vehicle |
| Student in an Organized Health Care Education/Training Program |
| Community Based Residential Treatment Facility, Mental Illness |
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