| NPI | 1710419916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE BIANCHI Program Manager 510-521-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 32627) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |