| NPI | 1982252441 |
|---|---|
| Doing Business As | VIDA ACT |
| Entity Type | Organization |
| Authorized Contact | LESLIE DAVIS SVP, CFO 510-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2020-03-13 |