Organization
BI BETT
Active
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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