| 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 |