| NPI | 1609610625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN STOCKLY Director 650-492-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-07-03 |