| Building Opportunities for Self-sufficiency | |
|
2065 Kittredge St Suite E Berkeley CA 94704-1404 | |
| (510) 649-8174 | |
| (510) 649-0627 |
| Full Name | Building Opportunities for Self-sufficiency |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 2065 Kittredge St, Berkeley, California |
| Authorized Official Name and Position | Robert Eugene Barrer (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 5106498174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Opportunities for Self-sufficiency 2065 Kittredge St Suite E Berkeley CA 94704-1404 Ph: (510) 649-8174 | Building Opportunities for Self-sufficiency 2065 Kittredge St Suite E Berkeley CA 94704-1404 Ph: (510) 649-8174 |
| NPI Number | 1780990994 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 08/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780990994 | NPI | - | NPPES |
| 8134 | Medicaid | CA | |
| 8133 | Medicaid | CA | |
| 8136 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Secondary |
| 251V00000X | Voluntary Or Charitable | () | Primary |
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