| NPI | 1134766041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE BYRNES Operations Manager 650-931-6501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |