| NPI | 1174807507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT NEWMAN Director Of Clinical Training 510-841-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 17179) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |