| NPI | 1801983960 |
|---|---|
| Doing Business As | CHANGES |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-292-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2026-09-08 |