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Organization
PURPOSE DRIVEN ADULT SERVICES, INC
Active
Organization
PURPOSE DRIVEN ADULT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANA LEE PAXTON LCSW (PRESIDENT)
(510) 474-9952
Entity
Organization
Contact information
Practice address
4010 MOORPARK AVE STE 118, SAN JOSE, CA 95117-1804
(510) 474-9952
(510) 217-4243
Mailing address
4010 MOORPARK AVE STE 118, SAN JOSE, CA 95117-1804
(510) 474-9952
(510) 217-4243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891268538
—
CA
Enumeration date
01/11/2023
Last updated
01/11/2023
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