Organization
CASA DE LA VIDA
Active
Parent organization
BERKELEY PLACE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BERKELEY PLACE, INC.
Authorized official
TERESA SHEPARD (PROGRAM COORDINATOR)
(510) 839-3769
Entity
Organization
Contact information
Practice address
421 FAIRMOUNT AVE, OAKLAND, CA 94611-5534
(510) 839-3769
Mailing address
421 FAIRMOUNT AVE, OAKLAND, CA 94611-5534
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
06/18/2019
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