| NPI | 1700362159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZONI ELLEN CAMP Director Finance And Administration 510-666-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2020-06-15 |