| NPI | 1972188662 |
|---|---|
| Doing Business As | MELANIN |
| Entity Type | Organization |
| Authorized Contact | CAREY FERDINAND LASHLEY CEO 510-274-9273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2021-03-16 |