# LIFEMOVES - MONTGOMERY STREET INN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFEMOVES - AUTUMN SATELLITE CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952807695
- **Legal business name:** LIFEMOVES - AUTUMN SATELLITE CLINIC
- **Authorized official:** CRAIG GARBER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (650) 685-5880

## Contact information

- **Practice address:** 358 N MONTGOMERY ST, SAN JOSE, CA 95110
- **Practice address phone:** (408) 271-5160
- **Mailing address:** 358 N MONTGOMERY ST, SAN JOSE, CA 95110-2325
- **Mailing address phone:** (408) 271-5160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2018
- **Last updated:** 06/01/2018