Organization
BERKELEY PLACE, INC.
Active
Other names
Casa de la Vida
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HUDLEMEYER (EXECUTIVE DIRECTOR)
(510) 848-5865
Entity
Organization
Contact information
Practice address
421 FAIRMOUNT AVE, OAKLAND, CA 94611-5534
(510) 848-5865
Mailing address
PO BOX 149, BERKELEY, CA 94701-0149
(510) 848-5865
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
21781570
CA
Other
Enumeration date
05/25/2007
Last updated
06/18/2019
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