| NPI | 1598982654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DONALD CHANNER Mental Health Program Director 510-601-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 22065) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-03-31 |