| NPI | 1245052760 |
|---|---|
| Doing Business As | MIXED BEHAVIOR FOUNDATION |
| Entity Type | Organization |
| Authorized Contact | SASHA JACKSON Executive Director/CFO 925-430-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |