| NPI | 1932733243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK HENRY MANZANO Executive Director 408-981-8713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |