| NPI | 1598020083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MCELVAIN Executive Director 408-778-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC41565) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |