| NPI | 1073774170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY DE LEON Marriage Family Therapist 408-595-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC 41569) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |