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Organization
HOUSE OF AUTISM PROPERTIES
Active
Organization
HOUSE OF AUTISM PROPERTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOROUR REZVANI (DIRECTOR)
(669) 222-0692
Entity
Organization
Contact information
Practice address
4685 ALBANY CIR APT 142, SAN JOSE, CA 95129-1131
(669) 222-0692
Mailing address
4685 ALBANY CIR APT 142, SAN JOSE, CA 95129-1131
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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