Healthcare Provider Details

I. General information

NPI: 1407072986
Provider Name (Legal Business Name): NEIGHBORHOOD HOUSE OF NORTH RICHMOND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 23RD ST
RICHMOND CA
94804-1338
US

IV. Provider business mailing address

820 23RD ST
RICHMOND CA
94804-1338
US

V. Phone/Fax

Practice location:
  • Phone: 510-229-5000
  • Fax: 510-235-3112
Mailing address:
  • Phone: 510-229-5000
  • Fax: 510-235-3112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number070004
License Number StateCA

VIII. Authorized Official

Name: MS. BARBARA BECNEL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-229-5000