| NPI | 1942787635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE RODRIGUEZ Quality Improvement & Data Manager 510-844-5368 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2021-10-07 |