NPI 1114322278
Building Opportunities for Self-Sufficiency
Practice location
- Address
- 711 Harrison St, Berkeley, CA 94710-1313
- Phone
- (510) 525-4469
- Fax
- (510) 525-2657
- Mailing address
- 2065 Kittredge St Suite E, Berkeley, CA 94704-1404
Authorised official
- Name
- Donald Ivy Fraizer
- Title
- Executive Director
- Phone
- (510) 649-1930
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Case Management Agency
Registry record
- NPI
- 1114322278
- Entity type
- Organization
- NPI issued
- 30 Oct 2014
- Record last updated
- 30 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.