| NPI | 1811869795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIS FREEMAN CEO 510-390-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM1000X Clinic/Center, Migrant Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QP2400X Clinic/Center, Prison Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |