| NPI | 1295410967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SMITH-JONES Confidante 408-661-5795 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 174H00000X Health Educator | |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |