Organization
DR MARY ROLISON PHD
Active
Other names
Mary Rolison, PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY D ROLISON PHD, LCSW (OWNER)
(408) 513-5107
Entity
Organization
Contact information
Practice address
18181 BUTTERFIELD BLVD, MORGAN HILL, CA 95037-8108
(408) 513-5107
Mailing address
2868 RUSTIC DR, SAN JOSE, CA 95124-1661
(408) 513-5107
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LCS12823
CA
251S00000X
Community/Behavioral Health Agency
LCS12823
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCS12823
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LCS12823
CA
302R00000X
Health Maintenance Organization
LCS12823
CA
305S00000X
Point of Service
LCS12823
CA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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