OrganizationActive
Building Opportunities for Self Sufficiency
NPI 1215280433 · Mental Illness Community Based Residential Treatment Facility · Berkeley, CA
Provider details
- NPI number
- 1215280433
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shirley Walker, Mhrs-Mental Health Res. Counselor(510) 537-5845
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2065 Kittredge St Ste E
Berkeley, CA 94704-1404
Phone: (510) 649-9130
Fax: (510) 649-0627
Street-level locationGet directions
Mailing address
21761 Meekland Ave
Hayward, CA 94541-3866
Registry dates
- Enumerated
- 2012-10-25
- Last updated
- 2012-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.