| NPI | 1063660090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HAYNES Client Service Specialist 510-844-5369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 57296) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2018-09-18 |