| NPI | 1710177803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN REID Controller 510-428-7605 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-04-02 |