| NPI | 1568260131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMILAH USORO Founder 510-485-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |