| NPI | 1467256545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI JOHNSON VP Revenue Cycle 510-407-2869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-06-03 |