NPI | 1679885768 |
---|---|
Other Name | PATHWAYS - CONCORDIA AVE |
Entity Type | Organization |
Authorized Contact | JULAYNE VIRGIL Chief Executive Officer 510-357-5515 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2010-07-06 |
Last Update Date | 2018-05-21 |