Healthcare Provider Details
I. General information
NPI: 1376793638
Provider Name (Legal Business Name): A BETTER WAY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2008
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
832 FOLSOM ST STE 702
SAN FRANCISCO CA
94107-4502
US
IV. Provider business mailing address
3200 ADELINE STREET
BERKELEY CA
94703
US
V. Phone/Fax
- Phone: 415-715-1050
- Fax: 415-715-1051
- Phone: 510-601-0203
- Fax: 510-601-4002
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
DONALD
CHANNER
Title or Position: CEO
Credential:
Phone: 510-207-8825