Organization
BONITA HOUSE INC
Active
Organization
BONITA HOUSE INC
Active
Parent organization
BONITA HOUSE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BONITA HOUSE INC
Authorized official
LAURA EVON WEISSBERGER LCSW (EXECUTIVE DIRECTOR)
(510) 593-1950
Entity
Organization
Contact information
Practice address
13939 E 14TH ST STE 190, SAN LEANDRO, CA 94578-2601
(510) 899-7445
(510) 647-9408
Mailing address
1919 ADDISON ST STE 204, BERKELEY, CA 94704-1143
(510) 899-7445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
09/12/2024
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