| NPI | 1285125906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DONALD CHANNER Chief Operating Officer 510-601-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-06-16 |