Healthcare Provider Details

I. General information

NPI: 1225577877
Provider Name (Legal Business Name): BI-BETT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2017
Last Update Date: 02/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 DAVI AVE
PITTSBURG CA
94565-3701
US

IV. Provider business mailing address

PO BOX 5487
CONCORD CA
94524-0487
US

V. Phone/Fax

Practice location:
  • Phone: 925-427-1384
  • Fax: 925-427-4217
Mailing address:
  • Phone: 925-798-7250
  • Fax: 925-798-3359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number070001TN
License Number StateCA

VIII. Authorized Official

Name: SUSAN JEANNE CINELLI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 925-798-7250