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Organization
EMQ FAMILIES FIRST
Active
Organization
EMQ FAMILIES FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DEHN (PROGRAM DIRECTOR)
(408) 335-1931
Entity
Organization
Contact information
Practice address
6630 MARYMONTE CT, SAN JOSE, CA 95120-4517
(408) 205-8996
Mailing address
6630 MARYMONTE CT, SAN JOSE, CA 95120-4517
(408) 205-8996
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
3649
CA
Other
Enumeration date
10/10/2009
Last updated
10/10/2009
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