| NPI | 1841334901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLESETTE BEAVERS Billing Coordinator 510-777-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 91024331) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |