| NPI | 1144643412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM HIMELSTEIN Director 510-295-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY25229) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |