| NPI | 1710401781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYCELLE MONSANTO BASFORD-PEQUET Executive Director 510-830-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119026) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |