| NPI | 1609307461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP RAHM Owner 650-329-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA MFC21773) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |