| NPI | 1083264246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE WALKER Clinical Social Worker 408-688-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |