| NPI | 1053936401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN STEARNS Director Of Quality 408-841-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2025-03-20 |