| NPI | 1619494044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI MUNIZ Director Of Finance 408-996-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-07-21 |