| NPI | 1427500693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIL SANDOVAL Program Specialist/VP 408-883-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |