| NPI | 1679757074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN HUMPHREYS Executive Director 510-792-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 101ya0400x) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |