Basic Information
| Provider Information | |||||||||
| NPI: | 1477195568 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | OPTIONS RECOVERY SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1835 ALLSTON WAY | ||||||||
| Address2: | |||||||||
| City: | BERKELEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 947031764 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5106669552 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5325 BRODER BLVD | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945683309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5106669552 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2019 | ||||||||
| LastUpdateDate: | 10/10/2019 | ||||||||
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| AuthorizedOfficialLastName: | JONES | ||||||||
| AuthorizedOfficialFirstName: | WENDY | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR FINANCE & ADMINISTRATION | ||||||||
| AuthorizedOfficialTelephone: | 5106669552 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | OPTIONS RECOVERY SERVICES | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.