NPI | 1275881492 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM NELSON Medical Director 510-596-8125 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC 50856) |
Enumeration Date | 2012-08-20 |
Last Update Date | 2012-08-20 |