| NPI | 1992480479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JAMES Owner 510-467-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |