| NPI | 1619177300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED WANG Chief Financial Officer 510-428-3027 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2021-10-14 |