| NPI | 1689120024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA THORSON Director 408-420-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |