| NPI | 1508111097 |
|---|---|
| Other Name | FRED FINCH YOUTH CENTER -WRAP #4 |
| Entity Type | Organization |
| Authorized Contact | THOMAS N ALEXANDER President And CEO 510-482-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2016-09-23 |