| NPI | 1174050389 |
|---|---|
| Doing Business As | KAISER ICT EAST BAY HUB |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-292-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2026-07-30 |