# MH CLINIC AT JUVENILE HALL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164701603
- **Authorized official:** DONNA COHEN-CRETCHER (INTERN COORDINATOR)
- **Authorized official phone:** (408) 792-3910

## Contact information

- **Practice address:** 840 GUADALUPE PKWY, SAN JOSE, CA 95110-1714
- **Practice address phone:** (408) 299-3166
- **Mailing address:** 210 S 1ST ST UNIT 412, SAN JOSE, CA 95113-2724
- **Mailing address phone:** (559) 347-8001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011