| Harrison House | |
|
711 Harrison St Berkeley CA 94710-1313 | |
| (510) 525-8841 | |
| (510) 525-5502 |
| Full Name | Harrison House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 711 Harrison St, Berkeley, California |
| Authorized Official Name and Position | Boona Cheema (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5106491930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison House 2065 Kittredge St Ste E Berkeley CA 94704-1404 Ph: (510) 649-1930 | Harrison House 711 Harrison St Berkeley CA 94710-1313 Ph: (510) 525-8841 |
| NPI Number | 1497966840 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 01/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497966840 | NPI | - | NPPES |
| 8136 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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