Organization
BI BETT
Active
Other names
EAST OAKLAND RECOVERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN TRINICE NELSON RASI (PROGRAM COUNSELOR)
(510) 568-2432
Entity
Organization
Contact information
Practice address
10700 MACARTHUR BLVD, 12, OAKLAND, CA 94605-5298
(510) 568-2432
(510) 568-3912
Mailing address
10700 MACARTHUR BLVD, 12, OAKLAND, CA 94605-5298
(510) 568-2432
(510) 568-3912
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
N0702242022
CA
251S00000X
Community/Behavioral Health Agency
Primary
N0702242022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01AD
CASE MANAGER
CA
05
—
01AD
—
CA
Enumeration date
06/22/2007
Last updated
07/27/2007
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