| NPI | 1508654799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNETTE D BROCK Chief Executive Officer 650-440-0567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |