| NPI | 1538204672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LEE-ANCAJAS Staff Psychologist 650-326-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY15673) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |