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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 (EXECUTIVE DIRECTOR)
(925) 798-7250
Entity
Organization

Contact information

Practice address
10700 MACARTHUR BLVD, 12, OAKLAND, CA 94605-5298
(510) 568-2432
(510) 568-3912
Mailing address
10700 MACARTHUR BLVD, 12, OAKLAND, CA 94605-5298
(510) 568-2432
(510) 568-3912

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CADDTP1484
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01AD
DRUG AND ALCOHOL
CA
05
01AD
CA
Enumeration date
06/26/2007
Last updated
07/27/2007
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