| NPI | 1104182625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE BRADY Executive Director 408-260-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFT 18214) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |