| NPI | 1821290537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R MCCONVILLE Executive Director 510-792-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 0119) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |