| NPI | 1033918156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORREE ELLEN LEWIS CRANDELL Executive Director / CEO 510-691-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |