Organization
BCRC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGENE M PERRY (OPERATING MANAGER)
(510) 815-2512
Entity
Organization
Contact information
Practice address
521 BODEN WAY, OAKLAND, CA 94610-3609
(510) 815-2512
Mailing address
11060 OVERMOOR ST, OAKLAND, CA 94605-5463
(510) 815-2512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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