| NPI | 1609327907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSE LEONARD-PAGEL Director Of Clinical Programs 510-655-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 140000152) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |