| NPI | 1285380493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLISHA D PRIESTER Clinician 510-916-8013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 385HR2050X Respite Care Respite Care Camp | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-03-10 |