Provider Demographics
NPI:1821430711
Name:BUILDING OPPORTUNITIES FOR SELF SUFFICIENCY
Entity Type:Organization
Organization Name:BUILDING OPPORTUNITIES FOR SELF SUFFICIENCY
Other - Org Name:HOUSING SERVICE TEAM
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BARRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-649-0627
Mailing Address - Street 1:2116 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-2310
Mailing Address - Country:US
Mailing Address - Phone:510-899-4100
Mailing Address - Fax:510-350-3322
Practice Address - Street 1:2116 BROADWAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-2310
Practice Address - Country:US
Practice Address - Phone:510-899-4100
Practice Address - Fax:510-350-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1972883403Medicare NSC