| NPI | 1902454226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY HOBSON Quality Assurance Director 510-725-5727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |