| NPI | 1699317222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKITA DENISE LONG Center Director 925-457-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 101YP2500X Counselor Professional | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |