| NPI | 1639543960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE MARSH Lic. Marriage & Family Therapist 408-236-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 84356) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 84356) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |