| NPI | 1780252676 |
|---|---|
| Doing Business As | SHINE FSP |
| Entity Type | Organization |
| Authorized Contact | LESLIE DAVIS SVP, CFO 510-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-05-23 |