| NPI | 1407067846 |
|---|---|
| Other Name | BOSS SHELTER NETWORK MAA |
| Entity Type | Organization |
| Authorized Contact | DONALD IVY FRAZIER Executive Director 510-649-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-01-02 |