| NPI | 1811753874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA KOSTUR Director 510-457-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-06-25 |