| NPI | 1740445477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILY ZAZUETA Qi Coordinator 408-287-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 52986) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |