| NPI | 1043690027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PEARCE Supervisor 510-745-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2020-04-06 |