| NPI | 1477630812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE GROSS President 510-635-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1883.08.01) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |