| NPI | 1619409810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN TAYLOR MCNIECE President 408-375-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFT87272) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |