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Organization

BI-BETT

Active
Parent organization
BIBETT
Other names
EAST OAKLAND RECOVERY CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
BIBETT
Authorized official
PATRICIA ANN JOHNSON (DIRECTOR)
(510) 568-2432
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
CADDTP1593
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01AD
DRUG AND ALCOHOL
CA
Enumeration date
06/18/2007
Last updated
07/27/2007
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