NPI | 1134795024 |
---|---|
Other Name | NEU-SELF |
Entity Type | Organization |
Authorized Contact | MARCO ANTONIO TORRES President 650-457-3747 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-06-01 |
Last Update Date | 2023-04-13 |