| NPI | 1568655256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEVESS Medical Director 510-548-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 140000160) |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2007-08-25 |