| NPI | 1922625847 |
|---|---|
| Doing Business As | SPECIALTY MENTAL HEALTH ALVISO |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CORNELL Credentialing Supervisor 408-579-6178 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-08-11 |