ROOSEVELT N/A JOHNSON

OAKLAND, CA
NPI1841151644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-11-20
Last Update Date2025-11-20
Business Address
Mr. ROOSEVELT N/A JOHNSON
1124 INTERNATIONAL BLVD
OAKLAND, CA 94606-4331
Phone number: 510-533-0800
Mailing Address
Mr. ROOSEVELT N/A JOHNSON
3308 SCHOOL ST
OAKLAND, CA 94602-3664
Phone number: 510-978-0074