Healthcare Provider Details

I. General information

NPI: 1275970519
Provider Name (Legal Business Name): A BETTER WAY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 GRAND ST
ALAMEDA CA
94501-5941
US

IV. Provider business mailing address

3200 ADELINE STREET
BERKELEY CA
94703
US

V. Phone/Fax

Practice location:
  • Phone: 510-601-0203
  • Fax: 510-601-4002
Mailing address:
  • Phone: 510-601-0203
  • Fax: 510-601-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1960743
License Number StateCA

VIII. Authorized Official

Name: DAVID DONALD CHANNER
Title or Position: CEO
Credential:
Phone: 510-207-8825