| NPI | 1164621454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIA MCMILLEN Chief Fiscal Officer 510-347-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA PSY25888) |
| Additional Taxonomies | 251S00000X (Licence: CA MFC 39862) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2014-12-03 |