# MS BEV ADDICTION COUNSELING AND CONSULTING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295042182
- **Authorized official:** MS. BEVERLY DIANE TILSON LCI2361214 (CEO/DIRECTOR)
- **Authorized official phone:** (510) 569-9555

## Contact information

- **Practice address:** 6020 OLD QUARRY LOOP, OAKLAND, CA 94605-3306
- **Practice address phone:** (510) 569-9555
- **Practice address fax:** (510) 569-9555
- **Mailing address:** PO BOX 18665, OAKLAND, CA 94619-0665
- **Mailing address phone:** (510) 569-9555
- **Mailing address fax:** (510) 569-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 03-068218 | CA | Yes |

## Other

- **Enumeration date:** 09/13/2010
- **Last updated:** 04/06/2016