| NPI | 1912416611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BRADY Directorof Aba 925-752-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 1-15-21048) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |