NPI | 1912738113 |
---|---|
Other Name | BACS THRIVE FSP |
Entity Type | Organization |
Authorized Contact | HANAN KATZ-LEWIS Compliance Manager 510-613-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2024-08-09 |
Last Update Date | 2025-09-17 |