Organization
BI-BETT
Active
Other names
East Oakland Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN JOHNSON (DIRECTOR)
(510) 568-2432
Entity
Organization
Contact information
Practice address
10700 MACARTHUR BLVD, SUITE 12, OAKLAND, CA 94605-5298
(510) 568-2432
(510) 568-3912
Mailing address
10700 MACARTHUR BLVD, SUITE 12, OAKLAND, CA 94605-5298
(510) 568-2432
(510) 568-3912
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CADDTP#1201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10AD
DRUG AND ALCOHOL
CA
Enumeration date
06/18/2007
Last updated
01/07/2008
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