NPI | 1619558228 |
---|---|
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 | 2021-04-15 |
Last Update Date | 2025-04-29 |