| NPI | 1457646960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. WAGENHOFER Executive Director 650-589-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 410023AN) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-09-14 |