Building Opportunities For Self-sufficiency | |
2065 Kittredge St Suite E Berkeley CA 94704-1404 | |
(510) 649-8174 | |
(510) 649-0627 |
Full Name | Building Opportunities For Self-sufficiency |
---|---|
Speciality | Voluntary Or Charitable |
Location | 2065 Kittredge St, Berkeley, California |
Authorized Official Name and Position | Robert Eugene Barrer (ASSISTANT DIRECTOR) |
Authorized Official Contact | 5106498174 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Building Opportunities For Self-sufficiency 2065 Kittredge St Suite E Berkeley CA 94704-1404 Ph: (510) 649-8174 | Building Opportunities For Self-sufficiency 2065 Kittredge St Suite E Berkeley CA 94704-1404 Ph: (510) 649-8174 |
NPI Number | 1780990994 |
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Provider Enumeration Date | 08/25/2010 |
Last Update Date | 08/25/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780990994 | NPI | - | NPPES |
8134 | Medicaid | CA | |
8133 | Medicaid | CA | |
8136 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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