NPI | 1164835914 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ANNE FIFIELD Ex Director 408-486-0110 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2014-06-10 |
Last Update Date | 2014-06-10 |