| NPI | 1710374665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MELMON Marriage And Family Therapist 650-465-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 50592) |
| Additional Taxonomies | 251S00000X (Licence: CA 50592) |
| 283Q00000X Psychiatric Hospital (Licence: CA 50592) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: CA 50592) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |