| NPI | 1013325976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DONALD CHANNER Chief Executive Officer 510-207-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2024-10-10 |