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Organization
BAY AREA CHILDREN'S ASSOCIATION MENLO
Active
Organization
BAY AREA CHILDREN'S ASSOCIATION MENLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI MUNIZ (DIRECTOR)
(408) 996-7950
Entity
Organization
Contact information
Practice address
1166 EL CAMINO REAL, MENLO PARK, CA 94025-4308
(408) 996-7950
Mailing address
1175 SARATOGA AVE, STE 14, SAN JOSE, CA 95129-3440
(408) 996-7950
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/01/2017
Last updated
04/19/2017
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