Organization
BIBETT
Active
Parent organization
BIBETT
Other names
EAST OAKLAND RECOVERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIBETT
Authorized official
SUSAN CINELLI (CHEIF EXECUTIVE OFFICER)
(925) 798-7250
Entity
Organization
Contact information
Practice address
7200 BANCROFT AVE, SUITE 176, OAKLAND, CA 94605-2403
(510) 568-2432
Mailing address
3018 WILLOW PASS RD STE 102, CONCORD, CA 94519-2543
(925) 798-7250
(925) 798-3359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
010006DN
CA
251S00000X
Community/Behavioral Health Agency
01AD
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01AD
DRUG MEDI-CAL
CA
Enumeration date
08/01/2007
Last updated
06/15/2011
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