Organization
BI-BETT
Active
Other names
Recovery Connection Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN JEANNE CINELLI (EXECUTIVE DIRECTOR)
(925) 798-7250
Entity
Organization
Contact information
Practice address
604 BROADWAY ST, VALLEJO, CA 94590-3323
(707) 643-2748
Mailing address
2290 DIAMOND BLVD SUITE 205, CONCORD, CA 94520
(925) 798-7250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A8740313
CA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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