| NPI | 1952728933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA TANYA ALICIA TAKLA Executive Director 650-454-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC 49566, LPC 247) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA MFC 49566, LPC 247) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2015-07-30 |