Healthcare Provider Details
I. General information
NPI: 1205233376
Provider Name (Legal Business Name): A BETTER WAY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2014
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3001 INTERNATIONAL BLVD
OAKLAND CA
94601
US
IV. Provider business mailing address
3001 INTERNATIONAL BLVD
OAKLAND CA
94601
US
V. Phone/Fax
- Phone: 510-433-8600
- Fax: 510-485-7173
- Phone: 510-433-8600
- Fax: 510-485-7173
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
CHANNER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCSW
Phone: 510-207-8825