| NPI | 1063840718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MILLER Executive Director 408-281-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 430707844) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2019-12-16 |