| NPI | 1750904876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEIAHSHA BANKHEAD Executive Director 510-599-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |