NPI | 1386075000 |
---|---|
Other Name | ICM |
Entity Type | Organization |
Authorized Contact | JAMIE ALMANZA Executive Director 510-613-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 01L21) |
Enumeration Date | 2013-12-05 |
Last Update Date | 2025-09-18 |