| NPI | 1114322278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD IVY FRAIZER Executive Director 510-649-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |