| NPI | 1154753861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME HERNANDEZ Counselor 650-612-6310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 102476) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |