Organization
BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
Active
Other names
BOSS Service Team
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOONA CHEEMA (EXECUTIVE DIRECTOR)
(510) 649-1930
Entity
Organization
Contact information
Practice address
2116 BROADWAY, OAKLAND, CA 94612-2310
(510) 899-4100
(510) 350-3322
Mailing address
2065 KITTREDGE ST STE E, BERKELEY, CA 94704-1404
(510) 649-1930
(510) 649-0627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8133
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/25/2007
Last updated
01/24/2011
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