| NPI | 1760208409 |
|---|---|
| Doing Business As | FATHERS TO FOUNDERS |
| Entity Type | Organization |
| Authorized Contact | ELGIN LYNIERE ROSE Executive Director 510-343-1934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 172V00000X Community Health Worker | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |