| NPI | 1487344693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM DESMOND CEO 510-847-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |