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Organization
PATH (PEOPLE ASSISTING THE HOMELESS)
Active
Organization
PATH (PEOPLE ASSISTING THE HOMELESS)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA KEISHIA NICOLE CHILDERS MSW (SR. DIRECTOR OF COMPLIANCE & QA)
(323) 644-2224
Entity
Organization
Contact information
Practice address
290 N. 2ND STREET SAN JOSE CA, SAN JOSE, CA 95112
(408) 320-9035
Mailing address
340 N MADISON AVE, LOS ANGELES, CA 90004-3504
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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