| NPI | 1497268072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY R JONES Director Of Finance & Administratio 510-666-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |