Organization
BONITA HOUSE INC
Active
Parent organization
BONITA HOUSE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BONITA HOUSE INC
Authorized official
LAURA EVON WEISSBERGER LCSW (EXECUTIVE DIRECTOR)
(661) 993-9053
Entity
Organization
Contact information
Practice address
1605 JEFFERSON ST, OAKLAND, CA 94612-1215
(510) 923-1099
Mailing address
1919 ADDISON ST STE 204, BERKELEY, CA 94704-1143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/20/2023
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