| NPI | 1760697221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JAMERSON Executive Director 510-535-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA FHC11743F) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |