| NPI | 1649636671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JAMES HENRYWESTWOOD Sud Counselor, Interventionist 408-203-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA LCi04531115) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |