| NPI | 1174190425 |
|---|---|
| Doing Business As | COMMUNITY BASED SERVICES |
| Entity Type | Organization |
| Authorized Contact | SCOTT OSBORN Chief Operating Officer 510-520-0943 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-04-24 |