Organization
BERKELEY PLACE, INC.
Active
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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