| NPI | 1184212045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LAU Owner 408-596-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |