| NPI | 1407232085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA SUKIENNIK-TAKAOKA Behavioral Health Manager Ii 510-752-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA PSY 27420) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |