Provider Demographics
NPI:1144566449
Name:BI-BETT
Entity type:Organization
Organization Name:BI-BETT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:CINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:RAS
Authorized Official - Phone:925-798-7250
Mailing Address - Street 1:2290 DIAMOND BLVD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5742
Mailing Address - Country:US
Mailing Address - Phone:925-798-7250
Mailing Address - Fax:925-798-3359
Practice Address - Street 1:1251 CALIFORNIA AVE STE 600
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-4145
Practice Address - Country:US
Practice Address - Phone:925-439-5161
Practice Address - Fax:925-439-0322
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BI-BETT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-14
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070001UN261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA070001UNOtherCALIFORNIA DAPARTMENT OF ALCOHOL AND DRUG PROGRAMS CERTIFICATION