| NPI | 1477932119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON FORD Partner 408-666-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YP2500X Counselor, Professional (Licence: TX 68144) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2019-06-22 |