| NPI | 1518240118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA E EDMO Human Resource Director 408-445-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 070000482) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |