Organization
BI-BETT
Active
Other names
FREDERICK OZANAM CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME CAMPOS (CEO)
(925) 798-7250
Entity
Organization
Contact information
Practice address
1390 SANTA CLARA AVE, BUILDING 1, CONCORD, CA 94518-1031
(925) 676-4840
Mailing address
390 N WIGET LN STE 150, WALNUT CREEK, CA 94598-2468
(925) 798-7250
(925) 798-3359
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
070001KN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070001KN
DHCS LICENSE
CA
Enumeration date
02/11/2017
Last updated
01/07/2021
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