| NPI | 1528715323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARED LLOYD Officer 925-316-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 251B00000X Case Management | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |