Organization
BERKELEY YOUTH LIVING WITH DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE FRANCIS KRAMSCHUSTER (DIRECTOR)
(510) 845-2744
Entity
Organization
Contact information
Practice address
2110 7TH ST, BERKELEY, CA 94710-2318
(510) 845-2744
(510) 849-1603
Mailing address
2110 7TH ST, BERKELEY, CA 94710-2318
(510) 845-2744
(510) 849-1603
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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