| NPI | 1275970519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DONALD CHANNER CEO 510-207-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1960743) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2024-10-10 |