| NPI | 1902933476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON B MICHELSON Therapist 408-972-3419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA LCS21247) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |