| NPI | 1679443113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MILFORD Chief Administrative Officer 408-857-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |