| NPI | 1497382170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO MORALES President 408-358-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 207N00000X Dermatology | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2021-12-03 |