Bonita House, Inc. | |
1919 Addison St Ste 204 Berkeley CA 94704-1143 | |
(510) 923-1099 | |
(510) 923-0894 |
Full Name | Bonita House, Inc. |
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Speciality | Community/behavioral Health |
Location | 1919 Addison St, Berkeley, California |
Authorized Official Name and Position | Laura 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. 1919 Addison St Ste 204 Berkeley CA 94704-1143 Ph: (510) 923-1099 | Bonita House, Inc. 1919 Addison St Ste 204 Berkeley CA 94704-1143 Ph: (510) 923-1099 |
NPI Number | 1871282228 |
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Provider Enumeration Date | 05/02/2023 |
Last Update Date | 05/04/2023 |
Certification Date | 05/04/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871282228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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