| NPI | 1215522735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL ANTHONY WOODS Coe / Clinical Psychologist 408-373-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2023-01-05 |