| NPI | 1225219801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN ROCHELLE WILSON Executive/Clinical Director/CEO 510-334-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2017-05-12 |