NPI 1124423389
Building Opportunities for Self-Sufficiency
Practice location
- Address
- 1931 Center St, Berkeley, CA 94704-1105
- Phone
- (510) 843-3700
- Fax
- (510) 843-3790
- 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
- 1124423389
- 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.