| NPI | 1659038875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE JAN CEO 510-839-2022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2022-02-14 |