| NPI | 1558424374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL DESIREE FERNANDO Clinical Director 510-269-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 020000193) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-08-07 |