| NPI | 1871969402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MARTIN BUXTON Psychotherapist 408-810-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA LCS7780) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |