MEDICARE: BI-BETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility	070001SN	CA

General Provider Information

NPI Number	:	1649475831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BI-BETT

Provider Business Mailing Address
First Line	:	510 WOLLAM AVE
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-4364
Country	:	US
Telephone Number	:	925-458-1978
Fax Number	:	925-458-8996

Provider Business Practice Location Address
First Line	:	510 WOLLAM AVE
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-4364
Country	:	US
Telephone Number	:	925-458-1978
Fax Number	:	925-458-8996

Authorized Official
Title or Position	:	PROGRAM COORDINATOR
Name	:	MS. TONI LEE WILDER
Credential	:	C.A.T.C
Telephone Number	:	925-458-1978

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	08/22/2020

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Directions to “BI-BETT ” Practice Location

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