| NPI | 1033699772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE B MENDOZA Residential Social Worker 650-367-1890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |