Organization
COUNTY OF SANTA CLARA
Active
Organization
COUNTY OF SANTA CLARA
Active
Other names
CFCS - Broadway High School
Organization subpart
No
Provider details
NPI number
Authorized official
TONI TULLYS (DIRECTOR)
(408) 885-7581
Entity
Organization
Contact information
Practice address
4825 SPEAK LN, SAN JOSE, CA 95118-3769
(408) 272-6518
Mailing address
2101 ALEXIAN DR, SUITE 110, SAN JOSE, CA 95116-1901
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438330
CALOMS NUMBER
—
Enumeration date
02/14/2017
Last updated
02/14/2017
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