| NPI | 1619850351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN COVINGTON Executive Director 408-876-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |