Organization
MS BEV ADDICTION COUNSELING AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY DIANE TILSON LCI2361214 (CEO/DIRECTOR)
(510) 569-9555
Entity
Organization
Contact information
Practice address
6020 OLD QUARRY LOOP, OAKLAND, CA 94605-3306
(510) 569-9555
(510) 569-9555
Mailing address
PO BOX 18665, OAKLAND, CA 94619-0665
(510) 569-9555
(510) 569-9555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
03-068218
CA
Other
Enumeration date
09/13/2010
Last updated
04/06/2016
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