Building Opportunities For Self Sufficiency
Community Based Residential Treatment Facility, Mental Illness in Berkeley, CA. Organization (NPI-2).
NPI number1215280433
StatusActive
Last updated in NPPESOct 25, 2012
Details
- NPI
- 1215280433
- Entity type
- Organization (NPI-2)
- Legal business name
- Building Opportunities For Self Sufficiency
- Organization subpart
- No
- Enumeration date
- Oct 25, 2012
- Last updated
- Oct 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Practice location
2065 Kittredge St Ste EBerkeley, CA 94704-1404
Phone 510-649-9130 · Fax 510-649-0627
Mailing address
21761 Meekland AveHayward, CA 94541-3866
Phone 510-537-5845 · Fax 510-582-2398
Authorized official
Shirley Jean Walker
Mhrs-Mental Health Res. Counselor
5105375845
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.