# BERKELEY ADDICTION TERATMENT SERVICES

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

## Provider details

- **NPI number:** 1942670419
- **Authorized official:** MARK TISHMAN (FISCAL OFFICER)
- **Authorized official phone:** (510) 644-0200

## Contact information

- **Practice address:** 2975 SACRAMENTO ST, BERKELEY, CA 94702-2534
- **Practice address phone:** (510) 644-0200
- **Mailing address:** 2975 SACRAMENTO ST, BERKELEY, CA 94702-2534
- **Mailing address phone:** (510) 644-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 0190 | CA | Yes |

## Other

- **Enumeration date:** 09/28/2015
- **Last updated:** 09/28/2015