| NPI | 1578892360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE CLARK Program Administrator 925-778-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 3002150) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |