| NPI | 1538477948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE C DITIBERIO Clinician I 408-254-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA ASW28279) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |