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Organization

FREDERIC OZANAM CENTER-RAINBOW VILLAGE

Active
Parent organization
BI-BETT
Organization subpart
Yes

Provider details

NPI number
Legal business name
BI-BETT
Authorized official
SUSAN JEANNE CINELLI (EXECUTIVE DIRECTOR)
(925) 798-7250
Entity
Organization

Contact information

Practice address
2901 PROSPECT AVE, CONCORD, CA 94518-1024
(925) 676-4840
Mailing address
PO BOX 5487, CONCORD, CA 94524-0487
(925) 798-7250
(925) 798-3359

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
070001LN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070001LN
DHCS LICENSE
CA
Enumeration date
02/11/2017
Last updated
02/11/2017
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