| NPI | 1437695004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN FISH Clinical Director 510-813-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-16-24724) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |