| NPI | 1770021495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI MUNIZ Director 408-996-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 251S00000X | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-04-19 |