| NPI | 1871023465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN C. SMITH President 408-249-8047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 16638) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |