| NPI | 1568798429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUPERLY WRIGHT Owner 408-406-7698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFT46673) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2023-10-17 |