| NPI | 1093881112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI WILLIAMSON Clinical Program Manager 408-832-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 20903) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |