Organization
BUILDING OPPORTUNITIES FOR SELF SUFFICIENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY JEAN WALKER B.A. (MHRS-MENTAL HEALTH RES. COUNSELOR)
(510) 537-5845
Entity
Organization
Contact information
Practice address
2065 KITTREDGE ST STE E, BERKELEY, CA 94704-1404
(510) 649-9130
(510) 649-0627
Mailing address
21761 MEEKLAND AVE, HAYWARD, CA 94541-3866
(510) 537-5845
(510) 582-2398
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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