Organization
BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EUGENE BARRER (ASSISTANT DIRECTOR)
(510) 649-8174
Entity
Organization
Contact information
Practice address
2065 KITTREDGE ST, SUITE E, BERKELEY, CA 94704-1404
(510) 649-8174
(510) 649-0627
Mailing address
2065 KITTREDGE ST, SUITE E, BERKELEY, CA 94704-1404
(510) 649-8174
(510) 649-0627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8133
—
CA
05
—
8134
—
CA
05
—
8136
—
CA
Enumeration date
08/25/2010
Last updated
08/25/2010
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