| NPI | 1871834689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY TAGGART Owner 650-223-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC48850) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |