| NPI | 1255691036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN REID Controller 510-428-3467 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2018-03-29 |