| NPI | 1497033088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELLE MCNEILLY CFO, Secretary/Treasurer 510-842-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA AC 11893) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA AC 11941) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |