Bonita House, Inc. | |
2640 Martin Luther King Jr Way Berkeley CA 94704-3238 | |
(510) 526-4765 | |
Not Available |
Full Name | Bonita House, Inc. |
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Speciality | Community/behavioral Health |
Location | 2640 Martin Luther King Jr Way, Berkeley, California |
Authorized Official Name and Position | Laura Evon Weissberger (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5105931950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bonita House, Inc. 2640 Martin Luther King Jr Way Berkeley CA 94704-3238 Ph: (510) 899-7445 | Bonita House, Inc. 2640 Martin Luther King Jr Way Berkeley CA 94704-3238 Ph: (510) 526-4765 |
NPI Number | 1235344912 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 08/09/2024 |
Certification Date | 08/09/2024 |
Identifier | Type | State | Issuer |
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1235344912 | NPI | - | NPPES |
81492 | Medicaid | CA | |
81493 | Medicaid | CA | |
81491 | Medicaid | CA |
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