| NPI | 1154065183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN STEARNS Director Of Quality 408-841-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2025-03-20 |