NPI | 1710429642 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY WALLACE Deputy Director 510-981-5107 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2020-07-07 |