NPI | 1215532379 |
---|---|
Doing Business As | KAISER ICT NORTH BAY SATELLITE |
Entity Type | Organization |
Authorized Contact | LESLIE DAVIS SVP, CFO 510-337-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-12-04 |
Last Update Date | 2020-12-04 |