| NPI | 1417788613 |
|---|---|
| Other Name | BACS THRIVE OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | HANAN KATZ-LEWIS Compliance Manager 510-613-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |