NPI | 1134235559 |
---|---|
Doing Business As | COMMUNITY JUSTICE CENTER BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | CHONA G. BAUTISTA-PERALTA Compliance Officer 415-255-3443 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2012-10-15 |