NPI | 1376020313 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW SERRY DUMBUYA CEO 408-401-2984 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 104100000X Social Worker |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2018-07-23 |
Last Update Date | 2018-07-23 |