Organization
EAST BAY COMMUNITY RECOVERY PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTA ROSE (ASSOCIATE EXECUTIVE DIRECTOR)
(510) 446-7100
Entity
Organization
Contact information
Practice address
2577 SAN PABLO AVE, OAKLAND, CA 94612-1159
(510) 446-7100
(510) 832-0609
Mailing address
2579 SAN PABLO AVE, OAKLAND, CA 94612-1159
(510) 446-7100
(510) 446-7191
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
251S00000X
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/14/2008
Last updated
08/07/2012
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