| NPI | 1902055411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY BRYAN GYN Director Of Clinical Services 510-296-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |