| NPI | 1619136132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED NAIMA WALLS-JOHNSON Clinical Manager Of Operations 510-825-7994 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2025-04-29 |