| NPI | 1154655793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ANDRAKIN Office Manager 408-468-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |