| NPI | 1104658962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNISHA VOHRA Senior Director Of Clinical Service 408-767-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |