| NPI | 1326546110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA KATRINA RICCA Owner 408-205-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001960) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |