Basic Information
| Provider Information | |||||||||
| NPI: | 1013325976 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | A BETTER WAY, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1234 EMPIRE ST | ||||||||
| Address2: | SUITE 1500 | ||||||||
| City: | FAIRFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94533 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7074264746 | ||||||||
| FaxNumber: | 7074194952 | ||||||||
| Practice Location | |||||||||
| Address1: | 1234 EMPIRE ST | ||||||||
| Address2: | SUITE 1500 | ||||||||
| City: | FAIRFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94533 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7074264746 | ||||||||
| FaxNumber: | 7074194952 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2014 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | CHANNER | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF ANALYTICS OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 5106010203 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.