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Organization
BONITA HOUSE, INC.
Active
Organization
BONITA HOUSE, INC.
Active
Parent organization
BONITA HOUSE INC
Other names
Supported Independent Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
BONITA HOUSE INC
Authorized official
LAURA EVON WEISSBERGER LCSW (EXECUTIVE DIRECTOR)
(661) 993-9053
Entity
Organization
Contact information
Practice address
150 GRAND AVE STE 200, OAKLAND, CA 94612-3726
(510) 923-1099
Mailing address
150 GRAND AVE STE 200, OAKLAND, CA 94612-3726
(510) 923-1099
(510) 923-0894
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
01113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01113
—
CA
Enumeration date
05/14/2007
Last updated
09/01/2026
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