Organization
BILL WILSON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELAH STEPHENS (DIVISION DIRECTOR)
(408) 278-2530
Entity
Organization
Contact information
Practice address
591 N KING RD STE 1, SAN JOSE, CA 95133-1661
(408) 278-2530
Mailing address
PO BOX 127, NAPA, CA 94559-0127
(707) 255-3300
(707) 255-3527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
03/15/2022
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