| NPI | 1154065183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DENISE GIANUARIO COO 650-393-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| 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 | 2023-02-08 |