Organization
BIBETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN CINELLI RAS (CHEIF EXECUTIVE OFFICER)
(925) 798-7250
Entity
Organization
Contact information
Practice address
3726 BARRETT AVE, RICHMOND, CA 94805-2253
(510) 215-2402
(510) 215-2799
Mailing address
2290 DIAMOND BLVD, SUITE #200, CONCORD, CA 94520-5742
(925) 798-7250
(925) 798-3359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
070001DDN
CA
Other
Enumeration date
07/29/2013
Last updated
04/09/2014
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