| NPI | 1043283914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE STALCUP Clinic Director 925-284-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 070035AP) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-08-22 |