Organization
BONITA HOUSE, INC.
Active
Parent organization
BONITA HOUSE INC
Other names
InHome Outreach Team / Community Assessment and Transport Team
Organization subpart
Yes
Provider details
NPI number
Legal business name
BONITA HOUSE INC
Authorized official
LAURA EVON WEISSBERGER LCSW (EXECUTIVE DIRECTOR)
(510) 593-1950
Entity
Organization
Contact information
Practice address
7200 BANCROFT AVE STE 267, OAKLAND, CA 94605-2403
(510) 735-0864
(510) 746-1196
Mailing address
1919 ADDISON ST STE 204, BERKELEY, CA 94704-1143
(510) 899-7445
(510) 647-9408
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
01EE1
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01EE1
—
CA
Enumeration date
05/14/2007
Last updated
12/24/2024
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