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Organization
SPREAD YOUR WINGS FOR MENTAL HEALTH INC
Active
Organization
SPREAD YOUR WINGS FOR MENTAL HEALTH INC
Active
Other names
ACCESS Mental Health, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SERRY DUMBUYA (CEO)
(408) 401-2984
Entity
Organization
Contact information
Practice address
570 BLOSSOM HILL RD, SAN JOSE, CA 95123-3212
(855) 799-4647
Mailing address
570 BLOSSOM HILL RD, SAN JOSE, CA 95123-3212
(855) 799-4647
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA336219
CA MEDICARE
CA
Enumeration date
07/25/2018
Last updated
10/22/2021
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