| NPI | 1114284817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA AGREDANO DE MORENO CEO/Psychiatrist 408-529-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A96450) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A96450) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2024-08-19 |