| NPI | 1134584485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBRIE MASTRANGELO Division Director 408-278-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2022-03-15 |