| NPI | 1972042992 |
|---|---|
| Doing Business As | BERKELEY DAY REPORT CENTER |
| Entity Type | Organization |
| Authorized Contact | TIM CZAJA Director 304-262-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2022-07-18 |