| NPI | 1740045095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA S YANCY CEO 510-502-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 261QC1500X Clinic/Center Community Health | |
| 261QR0800X Clinic/Center Recovery Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |