| 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 |