| NPI | 1598060683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE COLLINS Executive Director 510-777-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 0195) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |