| NPI | 1477625440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA RIEDY HARMS Clinician 408-963-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA 40501) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |