| NPI | 1376902114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA MELGOZA GAMBOA COO 408-771-1734 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2024-07-26 |