| NPI | 1043643919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA DANBY Clinic Supervisor 510-667-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 831171) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |