| NPI | 1598373706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZONI ELLEN CAMP Dir. Finance And Administration 510-666-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |