| NPI | 1851059315 |
|---|---|
| Other Name | PACIFIC CLINICS LATINA YOUTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | KATHRYN MCCARTHY Chief Executive Officer / President 408-379-3790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251X00000X | |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2024-05-22 |