| NPI | 1093664120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE BULLOCK Owner 510-772-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 251S00000X Community/Behavioral Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-06-02 |