| NPI | 1023669843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ELIZABETH SALVATIER Operations & Administrator Manager 510-300-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |