| NPI | 1902231301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE RODRIGUEZ Cqi Administrative Coordinator 510-844-5368 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2021-08-02 |