Organization
CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOMI WRONG (EXECUTIVE DIRECTOR)
(510) 841-4776
Entity
Organization
Contact information
Practice address
3075 ADELINE STREET, SUITE 110, BERKELEY, CA 94703
(510) 841-4776
(510) 841-6168
Mailing address
3075 ADELINE STREET, SUITE 110, BERKELEY, CA 94703
(510) 841-4776
(510) 841-6168
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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