| NPI | 1164603650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BUNN MCCULLOUGH CEO 510-610-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2021-12-02 |