Organization
BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
Active
Other names
Harrison House
Organization subpart
No
Provider details
NPI number
Authorized official
BOONA CHEEMA (EXECUTIVE DIRECTOR)
(510) 649-1930
Entity
Organization
Contact information
Practice address
711 HARRISON ST, BERKELEY, CA 94710-1313
(510) 525-8841
(510) 525-5502
Mailing address
2065 KITTREDGE ST STE E, BERKELEY, CA 94704-1404
(510) 649-1930
(510) 649-0627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8136
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/25/2007
Last updated
01/11/2011
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