Organization
BI-BETT
Active
Other names
East County Wollam
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN JEANNE CINELLI (EXECUTIVE DIRECTOR)
(925) 798-7250
Entity
Organization
Contact information
Practice address
32 DAVI AVE, PITTSBURG, CA 94565-3701
(925) 427-1384
(925) 427-4217
Mailing address
PO BOX 5487, CONCORD, CA 94524-0487
(925) 798-7250
(925) 798-3359
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
070001TN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070001TN
CALIFORNIA DHCS LICENSE
CA
Enumeration date
02/15/2017
Last updated
02/15/2017
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