| NPI | 1730250200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA SAMUDIO CHAVEZ Therapist 408-364-4053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA 17203) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |