| NPI | 1326239609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE GILLOLY Program Director 510-262-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 101YM0800X) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |