| NPI | 1457476475 |
|---|---|
| Doing Business As | LDS FAMILY SERVICES CA SAN JOSE |
| Entity Type | Organization |
| Authorized Contact | KENNETH B. STEWART Counseling Group Manager 916-682-6530 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-01-12 |