| NPI | 1952516031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BLEVINS Director 408-293-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY14707) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |