Organization
CENTER FOR INDEPENDENT LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOMI WRONG (EXECUTIVE DIRECTOR)
(510) 841-4776
Entity
Organization
Contact information
Practice address
39350 GALLAUDET DR, FREMONT, CA 94538-2308
(510) 794-3666
(510) 794-2409
Mailing address
3075 ADELINE ST, SUITE 100, BERKELEY, CA 94703-2579
(510) 841-4776
(510) 841-6168
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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