| NPI | 1669862439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HANCOCK Self Employed 510-378-7852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 6071) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |