| NPI | 1962601666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA WONG Director Of Administration 510-923-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2025-06-26 |