| NPI | 1194564294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LIM Director 510-804-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-25 |