| NPI | 1346771169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE JARELL JACKSON Behavior Specialist Intervention 650-646-8563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |