Provider Demographics
NPI:1326212051
Name:BI-BETT
Entity Type:Organization
Organization Name:BI-BETT
Other - Org Name:SOUTHERN SOLANO ALCOHOL COUNCIL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-798-7250
Mailing Address - Street 1:390 N WIGET LN STE 150
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2468
Mailing Address - Country:US
Mailing Address - Phone:925-798-7250
Mailing Address - Fax:925-798-3359
Practice Address - Street 1:419 PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-6933
Practice Address - Country:US
Practice Address - Phone:707-643-2715
Practice Address - Fax:707-643-8536
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BI-BETT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-14
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480002BN324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility