| NPI | 1598322927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT CAMERON CAMPBELL Owner 408-757-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |