| NPI | 1205345105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELAH STEPHENS Division Director 408-278-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-03-15 |