| NPI | 1023216561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYA SAKHAI Supervisor 510-451-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFTI 48326) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |