NPI | 1629154786 |
---|---|
Doing Business As | SAUSAL CREEK OUTPATIENT CLINIC |
Entity Type | Organization |
Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-337-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2006-10-31 |
Last Update Date | 2024-10-15 |