| NPI | 1598216236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAGELIA ATHANASIOS STAMATIS Lmft 650-746-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 92606) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |