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Organization
CATHOLIC CHARITIES OF SC CO
Active
Organization
CATHOLIC CHARITIES OF SC CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KITTY MASON M. (DIRECTOR BEHAVIORAL HEATH)
(408) 295-4647
Entity
Organization
Contact information
Practice address
2625 ZANKER RD, SAN JOSE, CA 95134-2130
(408) 325-5219
(408) 944-0468
Mailing address
2625 ZANKER RD, SAN JOSE, CA 95134-2130
(408) 325-5219
(408) 944-0468
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
009005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41528
UNICARE
CA
Enumeration date
06/15/2011
Last updated
06/15/2011
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