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Organization
GARDNER FAMILY HEALTH NETWORK
Active
Organization
GARDNER FAMILY HEALTH NETWORK
Active
Other names
Gardner Specialty Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CORNELL (CREDENTIALING SUPERVISOR)
(408) 579-6178
Entity
Organization
Contact information
Practice address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 579-6178
(408) 579-6143
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 579-6178
(408) 579-6143
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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