| NPI | 1588969521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STANTON WARD Senior Director Of Administration 510-219-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2019-05-01 |