| NPI | 1003484783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN WONG Quality Assurance Coordinator 510-270-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |