| NPI | 1194262881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ALICE SMITH Executive Director 510-258-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC# 48253) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |