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Organization
MOMENTUM FOR HEALTH - FSP IMD
Active
Organization
MOMENTUM FOR HEALTH - FSP IMD
Active
Other names
Momentum for Mental Health - FSP IMD
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID K. MINETA (CEO)
(669) 213-0755
Entity
Organization
Contact information
Practice address
86 S 14TH ST, SAN JOSE, CA 95112-2015
(408) 938-8500
(408) 295-4231
Mailing address
1922 THE ALAMEDA, SAN JOSE, CA 95126-1457
(408) 642-6053
(408) 642-6049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
12/28/2022
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