| NPI | 1801174057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA T. MOORE WILLIAMS Intake Specialist 650-348-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |