| NPI | 1881083863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL VALIN Vice President 408-477-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA 430706162) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |